| NPI | 1164018040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA R DEUTER President 870-974-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |