| NPI | 1942766829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY A THOMAS Speech Language Pathologist 910-650-1793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |