| NPI | 1174966469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAMBLEE WITHERSPOON Owner 870-636-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT2766) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR OTR2366) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2016-12-30 |