| NPI | 1215596978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE JEAN RYAN Physical Therapist 704-509-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |