| NPI | 1518153907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BAKER Office Manager 501-623-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR 288) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |