| NPI | 1427174150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN JENNIFER MULLAN Owner, O.T. South 704-843-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 222Q00000X Developmental Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-10-15 |