| NPI | 1992018139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME PENLEY President/Owner 828-438-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NC 4727) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist (Licence: NC 4727) | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: NC 4727) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2011-09-27 |