| NPI | 1972533883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ROBERTSON Physical Therapist / Owner 704-895-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P5385) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P5385) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-12-22 |