| NPI | 1457701997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOYO TILLERY Owner 919-638-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 13533) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |