| NPI | 1912346917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN NEEBLE Physical Therapist 336-209-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 5098) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |