| NPI | 1285983148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI SPEER Owner 870-275-6438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: AR PT3045) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: AR OTR1928) |
| 235Z00000X Speech-Language Pathologist (Licence: AR SP#2878) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2015-06-12 |