| NPI | 1104909118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE E ELLIOTT Office Manager 479-452-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT1835) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-09-06 |