| NPI | 1124579164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART ONG Physical Therapist 479-236-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR 4153) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |