| NPI | 1831157833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES FISH Owner/PT 336-996-4980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 8652) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5073) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2011-05-15 |