| NPI | 1821396557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI L MILLER Physical Therapist/Clinic Director 980-224-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 11833) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-04-12 |