NPI | 1588729859 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARY DEMELLO President Clinical Director 704-256-4281 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 7633) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
235Z00000X Speech-Language Pathologist, (Licence: NC 8271) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2009-09-02 |