| NPI | 1518016088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JEAN MCCANN Occupational Therapist 479-996-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: AR 149979742) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-10-08 |