| NPI | 1114082922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN EDGAR WOLFE Director Of Occupational Therapy 704-771-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10550) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5989) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |