| NPI | 1740795541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY NEWCOMB Executive Director 479-249-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist (Licence: AR OTR1879) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |