| NPI | 1407560790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WILKISON Owner 910-315-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2025-08-26 |