| NPI | 1356971642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY NORDMAN Owner 501-837-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2020-02-26 |