| NPI | 1285024836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CHRISTOPHER FAKER Owner/Physical Therapist 704-578-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4533) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-08-24 |