| NPI | 1245654102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIE TRIVETT President 704-641-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4623) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-19 |