| NPI | 1023045705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWARD MCDONALD Owner/ Physical Therapist 501-753-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 1073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 1424) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |