| NPI | 1902392418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FORREST Owner 336-990-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P10047) |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: NC 8609) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: NC P10047) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-08-20 |