| NPI | 1144031121 |
|---|---|
| Other Name | SOUTHERN PIEDMONT PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | GARRET TOMMASULO Member/Manager 704-604-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |