| NPI | 1902443666 |
|---|---|
| Doing Business As | THE CHARLOTTE PT ROOM |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOHN INGERSOLL Owner 703-401-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |