| NPI | 1972798007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREMAYNE THURMAN Director Of Clinical Operations 910-401-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9225) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5574) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-01-23 |