| NPI | 1902454507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ALGER Office Manager 910-748-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |