| NPI | 1295361509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRICA LINN WEATHERFORD President 501-240-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |