| NPI | 1508857228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL M REXRODE Owner 336-659-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 4289) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 6712) |
| 237700000X Hearing Instrument Specialist (Licence: NC 598) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-06-10 |