| NPI | 1255549952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MOSES Manager 479-784-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA1938) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2310) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |