| NPI | 1407889850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH JEANNETTE YOUNG President 336-282-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 1686) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9058) |
| 225100000X Physical Therapist (Licence: NC 6001) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 5161) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-05-01 |