| NPI | 1235463753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SAIN BENNETT Member Manager 910-791-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9455) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |