| NPI | 1831162643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL FRYE STEPHENS President 336-236-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 0149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 1164) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 8820) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2012-03-05 |