| NPI | 1295150696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WAYNE BENNETT Physical Therapist 704-293-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NC NC13484) |
| Enumeration Date | 2014-02-22 |
| Last Update Date | 2014-02-25 |