| NPI | 1710444658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ROBERTS President 479-659-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |