| NPI | 1891835666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL F POWELL President 336-236-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 1664) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 0149) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |