| NPI | 1437125085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA CATHERINE TIEDEMAN Billing And Medical Records Manager 704-332-4834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-01-29 |