| NPI | 1538263173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SHAFFER JENKINS President 252-459-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2603) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 2603) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-03-24 |