NPI | 1457418311 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTYN J YAGER Owner 252-338-2114 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2007-01-02 |
Last Update Date | 2022-09-28 |