| NPI | 1598186082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER POULIN President 910-420-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 13681) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |