| NPI | 1649522285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMITA PATEL Physical Therapist 336-545-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 5925) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |