| NPI | 1689841397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE LYNN PARTIN Sole Proprietor 479-967-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AR PT1323) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |