| NPI | 1093047912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE LYNAE BRYAN Member Manager 336-953-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 6938) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |