| NPI | 1568959179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI CABANESS Owner/Director 479-970-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-06-20 |