| NPI | 1114659679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MOXLEY RECTOR Speech Language Pathologist 704-701-6035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-10-11 |