| NPI | 1326407602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL STEWART President 252-567-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 673) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2023-12-07 |