| NPI | 1538117791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RENAE CHAMBERS-GOOCH Physical Therapist/Owner 919-603-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2617) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-23 |