| NPI | 1740919638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SHERRON VP Finance/C Fo 252-633-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |