| NPI | 1568589687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTYN J YAGER Owner 252-338-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-09-22 |