| NPI | 1124241120 |
|---|---|
| Doing Business As | IMAGINE PEDIATRIC THERAPIES |
| Entity Type | Organization |
| Authorized Contact | TABITHA DAWN RICHISON President 479-795-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-03-24 |