| NPI | 1356405005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA VESS BRADLEY Billing Specialist 828-693-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-07-12 |