| NPI | 1902520828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L WALTHER Executive Director 919-417-7259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XF0002X Occupational Therapist Feeding, Eating & Swallowing |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |