| NPI | 1619928686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDA M YOUNG President 336-235-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 200001179236) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |