| NPI | 1528374279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE FOUTY Owner 251-458-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL 26568) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |