| NPI | 1730681388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FAYE BAGEANT Owner, CFO 910-461-9168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist (Licence: NC 10745) | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 12318) | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2020-01-17 |