| NPI | 1124356795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HOWARD Speech Language Pathologist 910-395-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2019-12-23 |