| NPI | 1407414840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSI BROOKE FABIN Owner, Physical Therapist 704-682-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |