| NPI | 1366494551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA ANN CANDELARIA Managing Member 910-278-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2675) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |