| NPI | 1205031838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN LOESCH President 919-321-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 4316) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-06-12 |