| NPI | 1134718257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL HARDIN Owner/Physician 870-424-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-04-29 |