| NPI | 1780045419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE MIRANDA ELMORE Owner 919-885-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NC P14582) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-07-13 |