| NPI | 1740539865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON LEE FOX CEO 704-796-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 7908) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10090) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |