| NPI | 1447751169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY INEZ HAMILTON Owner 910-536-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2315) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-06-16 |