NPI | 1811693088 |
---|---|
Entity Type | Organization |
Authorized Contact | JACLYN FISHER Credentialing 704-832-5383 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2023-01-31 |
Last Update Date | 2024-07-30 |