| NPI | 1821343153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY COLSON PHELPS Physical Therapist 252-335-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 10768) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |