| NPI | 1720811854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BETHEA Owner 910-474-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-27 |