NPI | 1790096485 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY EUGENE LEATHERMAN President 336-391-7892 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 8012) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2010-10-15 |