| NPI | 1669128740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BREWER Owner 919-605-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2023-08-30 |