| NPI | 1386958429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELILAH BEJERANO President 870-704-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |