| NPI | 1770081077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCOTT MOUSER Md, Owner 910-738-4856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16942) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |