| NPI | 1245491224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GAYLE BECK-FULLER Co Owner 479-531-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1880) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2009-02-02 |