| NPI | 1083002059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA L HIGGINBOTHAM President 870-248-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-30 |