| NPI | 1538742168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN OLIVER MYERS Owner 910-624-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2021-05-03 |