| NPI | 1508849332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN GIANOPOULOS Owner Otrl 704-799-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2012-11-21 |