| NPI | 1326705450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER C SMITH Owner 919-373-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-06-01 |