| NPI | 1497102321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET COLEMAN KILLGORE Owner 870-278-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT2016-016) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |