| NPI | 1851685010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME A ISEAR Physical Therapist 910-791-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 6039) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |