| NPI | 1760477715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LOWE BLACKWOOD Vice President/Co Owner 919-968-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2015-11-06 |