| NPI | 1740757582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE D SCHLEIN Member 336-302-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2023-08-31 |