| NPI | 1194769877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GAYNOR Owner/ President 252-975-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 063) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-03-31 |