| NPI | 1164402962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN HURST Co Owner 870-762-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR 2430) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-04-06 |