| NPI | 1205894029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BIELEC Director 704-316-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-10-23 |