| NPI | 1598886798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL COLE CHAFFIN Physical Therapist 501-812-6451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 1583) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |