| NPI | 1871860544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYN THOMAS Speech Language Pathologist 910-612-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6026) |
| Enumeration Date | 2011-11-24 |
| Last Update Date | 2011-11-24 |