| NPI | 1164726584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE COLEMAN Owner 870-424-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2014-10-02 |