| NPI | 1447310958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LU K DICKINSON Practice Manager Owner 919-781-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-26 |