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 |