| NPI | 1700476801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M LOWE Speech Language Pathologist 704-223-7053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |