NPI | 1033608963 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELBY GAILE POTTS Speech Language Pathologist 919-607-6264 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11831) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2021-12-14 |