| NPI | 1710215041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY MARK SHORT Presiden 479-646-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR C7559) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |