| NPI | 1710267802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA T. HUMPHRIES Billing/Credential Supervisor 704-824-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2013-02-04 |