| NPI | 1821395369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY BEAL Co Founder 252-452-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 2942) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 2913) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |