| NPI | 1376620518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHZARA ISRA Director Of Clinical Services 704-248-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 4329) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 9759) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-07-16 |