| NPI | 1821389875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN D MULLIS President/CEO 336-940-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-07-14 |