| NPI | 1508097734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROBERSON STEVENS Occupational Therapist 252-809-9389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 1719) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NC 1719) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2021-05-19 |