| NPI | 1265772636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A VITA Owner 919-624-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-03-01 |