| NPI | 1487851937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY D. DONAHUE Physical Therapist Assistant 870-862-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 2174) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |