| NPI | 1437605169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM STICKLEY Center Manager 704-366-5521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 16489) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |