| NPI | 1003843442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C CREDLE Owner, Director 919-363-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6205) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 1311) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC 2152) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC 2215) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NC 3786) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 5261) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 4215) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 4734) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 6426) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-12-17 |