| NPI | 1720395676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALLEN JOSEPH Owner 479-845-0896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR 488) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |