| NPI | 1518277607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ELLIOTT Office Manager 479-452-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT1835) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2012-02-23 |