| NPI | 1467836072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY THOMAS President 501-318-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: AR 4938) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR 4938) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |