| NPI | 1679613434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILLIS President 910-297-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 1237) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |