| NPI | 1588558308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMINE MAREE HOLLINS Credentialing Specialist 704-799-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |