| NPI | 1861559015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON President 828-835-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 4032) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |