| NPI | 1689606840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE RENEE JOHNSON Owner 336-725-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9985) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-09-08 |