| NPI | 1720546195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO FRANKLIN PULIDO Clinical Director 479-220-9894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |