| NPI | 1801653118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY VANNOY Owner, Physical Therapist 251-979-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |