| NPI | 1851867394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ALDEN EDWARDS Co Owner, Physical Therapist 980-209-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-05-01 |