| NPI | 1083898399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN JENNIFER MULLAN Owner 704-843-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |