| NPI | 1861580102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ROYCE JARBOE President/CEO 910-763-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 2549) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: NC 1796) |
| 225100000X Physical Therapist (Licence: NC 2549) | |
| 225700000X Massage Therapist (Licence: NC 173) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-09-30 |