| NPI | 1518646298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN BYRD Owner/Physical Therapist 251-944-7364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-02-22 |