| NPI | 1962077784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATLYN FRY Owner 704-578-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2025-11-13 |