| NPI | 1689197006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCOLVIN Vice President Finance 479-201-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |