| 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 |