| NPI | 1255979035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA FULTINEER Owner/Physical Therapist 919-803-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |