| NPI | 1255456513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREIDA SMITH POAG President 980-320-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 3364) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-01-05 |