| NPI | 1376886796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L DIBB President 910-423-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 3200) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-03-15 |