| NPI | 1285174961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE MCOLVIN Director 479-201-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2022-04-19 |