| NPI | 1215603808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLEEN ANTONIA ANDREWS CEO 336-624-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant Environmental Modification |
| 225XE0001X Occupational Therapist Environmental Modification | |
| 225XG0600X Occupational Therapist Gerontology | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-04-06 |