| NPI | 1538468665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BURGESS Owner 704-762-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 1877) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2016-04-06 |