| NPI | 1497085252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY LEE JONES Speech Language Pathologist 910-215-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8637) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 2301) |
| 225100000X Physical Therapist (Licence: NC 7235) | |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2014-09-02 |