NPI | 1487692851 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT CHRISTOPHER DYMOND Practice Mananger 919-777-0240 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
2251P0200X Physical Therapist, Pediatrics | |
225X00000X Occupational Therapist | |
225100000X Physical Therapist | |
Enumeration Date | 2006-06-04 |
Last Update Date | 2013-05-02 |