| NPI | 1215239611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE NOMIDES Physical Therapist, Owner 910-685-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12406) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |