| NPI | 1063853158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHZARA ISRA Managing Member 704-248-1474 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NC 4329) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NC P9759) |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2017-04-14 |