| NPI | 1184945701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY DECKER CEO 870-932-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-11-30 |