| NPI | 1396366316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2021-08-16 |