| NPI | 1942751979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE PFUNTNER Administrative Director 910-484-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: NC 0-16-7357) |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2023-11-10 |