| NPI | 1134669799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LAYTON Owner 501-463-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: AR 0000) |
| 225200000X Physical Therapy Assistant (Licence: AR 0000) | |
| 225XG0600X Occupational Therapist Gerontology (Licence: AR 0000) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2024-05-14 |