| NPI | 1609061712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE ADELE JOHNSTON President 910-799-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 10789) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2009-02-17 |