| NPI | 1962721951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID LETEXIER Owner 980-229-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 3215) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2010-05-31 |