NPI | 1891949707 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANI S. BACON Co Founder & Physical Therapist 704-807-5699 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QA3000X Clinic/Center, Augmentative Communication | |
261QH0100X Clinic/Center, Health Services | |
261QH0700X Clinic/Center, Hearing and Speech | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QR0400X Clinic/Center, Rehabilitation | |
251E00000X Home Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
252Y00000X Early Intervention Provider Agency | |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2008-11-05 |
Last Update Date | 2015-08-20 |