| NPI | 1760775894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN KACZYNSKI-CAJIGAS President 910-264-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 4840) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2017-02-08 |