| NPI | 1417900382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA CARY-COLEMAN Owner 704-293-1856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |