| NPI | 1952369787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLYE LONER Exe.VP & Cco & Admin 336-718-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |