| NPI | 1477982833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL REVIS Office Manager 336-501-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2007-00213) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2014-11-10 |