| NPI | 1528501178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE CARTER Credentialing Specialist 919-327-9674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 04827) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |