| NPI | 1992938112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN MATTHEW WIDRICK President 919-815-4389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 4143) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |