| NPI | 1609143445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MITCHENER Owner 919-593-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 8789) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |