| NPI | 1497199921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA NICHOLE FOLDEN Physical Therapist/Owner 704-401-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11706) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2015-01-06 |