| NPI | 1477125805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE ROSE TARGONSKI Chief Executive Officer 704-249-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |