| NPI | 1164562716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BARLEY President 870-307-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR OTR852) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |