| NPI | 1518724426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HIGGINS Partner 336-314-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-07 |