| NPI | 1700834181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI MARIE SMITH President 704-965-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2010-03-09 |