| NPI | 1093040164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN BUTCHKO Owner 828-242-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 5436) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 5436) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2010-06-01 |