| NPI | 1295307924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANA LAURA GRAHAM Physical Therapist 336-529-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |