| NPI | 1467406041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOTT MCMAHAN Administrator 704-866-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 320) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |