| NPI | 1821149857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE POLETTI LACARTER Owner 252-293-0739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9979) |
| 225X00000X Occupational Therapist (Licence: NC 1050) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-07-12 |