NPI | 1669887410 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA B RUSS Physical Therapist 479-250-4014 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 2874) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2017-01-23 |