| NPI | 1255962007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DYBA Owner, PT 704-577-9937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X | |
| 103K00000X Behavior Analyst | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2022-01-24 |