| NPI | 1134713019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN PRISCILLA BUCKLAND Owner 704-960-9619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-02-28 |