| NPI | 1326300013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA PORTER BOYD Clinic Director/Owner 252-626-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2012-06-09 |