| NPI | 1164039608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN ALBERSON Owner/Director 501-246-5191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |