| NPI | 1467743005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN COLEMAN President 336-407-9753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 7742) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2011-05-01 |