| NPI | 1255485827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEAMONS Cota 870-245-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR ota-334) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-07-02 |