| NPI | 1821183492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL ZIEMBA Co Owner 336-626-6382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 397) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 4375) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-08-13 |