| NPI | 1205394046 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL MCOLVIN VP Finance 479-201-2000  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-03-12 | 
| Last Update Date | 2022-04-19 |