| NPI | 1891469136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY SURIANO Occupational Therapist 336-316-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-10 |