| NPI | 1407248172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA D STREETER Office Manageer 870-364-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR PT2302) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2020-10-14 |