| NPI | 1033093695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LAMB Credentialing Specialist 479-201-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-12-10 |