| NPI | 1659692259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MOORE President 704-975-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 9807) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |