| NPI | 1144276585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT MONTGOMERY Executive Director 479-750-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SLP 139) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-02-14 |