| NPI | 1912085648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY A VEDDER Physical Therapist 336-783-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 10400) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-02-07 |