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 |