| NPI | 1851010698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FUTRELL Member/Manager 910-290-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2025-08-12 |