| NPI | 1750458345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE BAKER Administrator, Cpc 704-364-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 4819) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-01-24 |