| NPI | 1073624185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE PATRICK BRADEN President 870-934-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR MC-1520) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-07-29 |