| NPI | 1740505346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA COLE REYES Ot/L; Co Owner 336-279-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 4531) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 3223) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-01-17 |