| NPI | 1821535857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY M DEVEREAUX Owner/Physical Therapist 704-778-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11530) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |