| NPI | 1386005304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANIA BREDY Cep 704-246-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2023-04-13 |