| NPI | 1174777874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIAN B MATINCHEV President 479-246-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: AR MC-1930) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2015-04-10 |