| NPI | 1376730168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE FEREBEE Owner 252-756-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-04-20 |