| NPI | 1154408607 |
|---|---|
| Doing Business As | SALLY PIDGE DBA ACHIEVE |
| Entity Type | Organization |
| Authorized Contact | SALLY RAY PIDGE Owner Therapist 704-708-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 4234) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 2583) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-10-11 |