NPI | 1578034484 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL MCOLVIN VP Finance 479-201-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225100000X Physical Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |