NPI | 1154059251 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA RAE SMITH Occupational Therapist 501-772-1461 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
225X00000X Occupational Therapist | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2022-08-08 |
Last Update Date | 2022-11-18 |