| NPI | 1053695551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L IVY President 501-206-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR PT3072) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2026-01-27 |