| NPI | 1831306471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MCGOWAN FISH President 704-239-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4951) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 5460) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-01-26 |