| NPI | 1083944425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA JENKINS Speech Language Pathologist 479-650-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR SP#1195) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |