NPI | 1083909295 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA JENNINGS Owner 501-837-7216 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 2385) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR 2013) |
235Z00000X Speech-Language Pathologist, (Licence: AR 1949) | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2011-06-15 |