| NPI | 1922093434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE ROBERTS Administrator 919-942-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NC 28441) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 8262) |
| 225100000X Physical Therapist | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NC 200301142) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2008-05-20 |