| NPI | 1114161015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGIN JOHN REGINIO President 870-534-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR PT1522) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |