| NPI | 1437534302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2021-08-30 |