| NPI | 1194156018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LYNNE THOMSON Occupational Therapist/Company Owne 980-406-4842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 6823) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-29 |