| NPI | 1699711507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADE F BADA Practice Administrator 704-624-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NC 7131) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-10-23 |