| NPI | 1477955417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA MOHLER-DIXON President 251-210-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 3013) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2554) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2015-08-20 |