| NPI | 1679171383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL RENEE EUBANKS Owner 501-733-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |