| NPI | 1679679021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON B GOODE President 870-702-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 224Z00000X Occupational Therapy Assistant | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |