| NPI | 1871737874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTYN J YAGER Owner 252-338-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2022-09-22 |