| NPI | 1396073250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA S WHITTENTON President 910-920-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 0538) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 3830) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2010-01-05 |