| NPI | 1013636935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SEIGH Business Administrator 252-333-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-09-13 |