| NPI | 1538511050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRI-KELLY ALLEN MCLAMB Occupational Therapist 910-734-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 6037) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9084) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |