| NPI | 1366725814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY EVANS President 336-359-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 3827) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |