| NPI | 1427890789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADA NICOLE LESLIE JOHNSON Owner /Occupational Therapist 704-476-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-08 |