| NPI | 1053515411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI MOOS Billing Manger 919-619-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |