| NPI | 1164614129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN VANGILDER Chief Financial Officer 501-228-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-04-24 |