| NPI | 1487057808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MARLEY Co Owner 479-782-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR 1561) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AR 2419) |
| 235Z00000X Speech-Language Pathologist, (Licence: AR 1140) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2015-08-26 |