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 |