| NPI | 1497048979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SMITH President 704-546-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2017-01-05 |