| NPI | 1346862125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK MARCEL COE Physical Therapist 910-827-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |