| NPI | 1730137779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADEN PAYNE BOLIEK President 910-483-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-08-30 |