| NPI | 1639687965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER LEE MORRISSEY Manager/Owner 704-840-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 11551) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 5699) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2022-08-15 |