| NPI | 1427811793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA JACASTA-JONES AMPAH Owner/Manager 252-258-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |