| NPI | 1679617427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI WOODSON President 479-631-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR PT1512) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR PT2542) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |