| NPI | 1316701410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN STEIN Board Director 336-707-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-03-14 |