| NPI | 1144663535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA L.B. LAND Owner 336-202-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4424) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |