| NPI | 1386917896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HENRY President 910-679-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P12597) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |