| NPI | 1356041214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN OGILVY Provider 919-932-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-06-09 |