| NPI | 1508094657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS PATRICK NESTLERODE Physical Therapist/ Owner 704-692-0317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2024-01-30 |