| NPI | 1336148279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY J DZIKOWSKI Owner/Director 704-799-9791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 6107) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |