NPI | 1184611253 |
---|---|
Doing Business As | SILOAM SPRINGS SPORTS AND PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | HENRY TODD BOWDEN President 479-524-6306 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2005-10-04 |
Last Update Date | 2007-09-14 |