| NPI | 1417198482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY ALEXANDER Vice President Of Operations 479-246-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |