| NPI | 1013139401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY D LEWIS Administrator 501-230-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-05-14 |