| NPI | 1366986937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ODLE Speech Language Pathologist 919-297-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11212) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |