| NPI | 1861942013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WATKINS Owner 336-270-5304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P11588) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2023-06-16 |