| NPI | 1659712412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE BETH HATHAWAY Occupational Therapist 919-578-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 4887) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |