| NPI | 1053616193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PACE President 336-817-1893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 4864) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: NC 4864) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 4864) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |