NPI | 1265019699 |
---|---|
Entity Type | Organization |
Authorized Contact | KACY WICKERSON Owner 704-258-7031 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2021-03-24 |
Last Update Date | 2024-11-06 |