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 |