| NPI | 1467536466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYMBRLY HANNAH President 479-521-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT2309) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR OTR2064) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |