| NPI | 1073267621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN CHERRY Owner/Occupational Therapist 479-684-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-03-15 |