| NPI | 1417602814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAHRA S RAHAL COO 501-765-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-04-05 |