| NPI | 1407385552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI B CROSS Occupational Therapist 336-608-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 6279) |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2022-07-21 |