| NPI | 1639511835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L. CRILLY Owner/Clinic Director 704-892-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P11495) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 8676) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2016-01-11 |