| NPI | 1639394828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOCKE MARTIN Occupational Therapist 919-772-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 5768) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P10182) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 8458) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2011-04-15 |