| NPI | 1962108761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GIL WILSON CFO 919-424-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |