| NPI | 1477925519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ORTON Owner/ Site Supervisor 336-288-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |