| NPI | 1407614837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN PAUL RODRIGUES Physical Therapist 252-455-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |