| NPI | 1104373653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI C DAILEY Owner 919-791-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-08-15 |