| NPI | 1679779920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY R LYONS Owner 479-495-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AR PT437) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-04-20 |