| NPI | 1710579073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN M PALEN Occupational Therapist/Owner 252-621-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-03-05 |