| NPI | 1083945778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET GRAYSON PORTER President 336-207-8957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |