| NPI | 1205346111 |
|---|---|
| Former Legal Business Name | REHABILITATION NETWORK OUTPATIENT SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | BECKY ANNE CRENSHAW Executive Director 501-548-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |