| NPI | 1598293714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE OTEY Practice Manager 336-609-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2008-00366) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2025-10-08 |