| NPI | 1578751921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUNJAL PATEL M PT 704-219-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 10001) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 3009) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |