| NPI | 1336680032 |
|---|---|
| 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 | 2017-03-14 |
| Last Update Date | 2017-03-14 |