| NPI | 1639440324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA LYNNETTE GEORGE Owner/Operator 870-654-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1969) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2022-04-27 |