| NPI | 1134512585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA TYLER Office Manager 870-739-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA3894) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |