| NPI | 1427674019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DOUEK Owner 919-327-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-10-13 |