NPI | 1548474851 |
---|---|
Doing Business As | SPORTS PHYSICAL THERAPY & PERFORMANCE DEVELOPMENT CENTER |
Entity Type | Organization |
Authorized Contact | JASON JAMES GAUVIN President, CEO, Physical Therapist 919-484-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: NC 6073) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2013-02-19 |