| NPI | 1851783815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT PAYNE Physical Therapist 910-477-6236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC 10701) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2021-04-17 |