| NPI | 1447760392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P BATES Owner 501-796-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-08-06 |