| NPI | 1447845136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENESHIA M KIRKSEY Physician 704-877-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |