| NPI | 1710228283 |
|---|---|
| Doing Business As | NOVANT HEALTH LAKESIDE PHYSICAL THERAPY & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY KEITH GARDNER VP Finance 704-384-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2015-03-11 |