| NPI | 1134596380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GOULCH Owner/Operator 479-253-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR 4012) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |