| NPI | 1275074163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE D. ROGERS Owner 910-508-1829 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC PT 10998) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |