NPI | 1639680945 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACIE JOHNSON President 919-973-8827 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11704) |
Additional Taxonomies | 225X00000X Occupational Therapist |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2017-10-13 |
Last Update Date | 2025-06-03 |