| NPI | 1225436264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTILLIA NOEL FOGG Owner 919-793-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: NC 8544) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2022-11-16 |