| NPI | 1750711743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL D HENRY Managing Member 870-421-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR1340) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: AR OTR1340) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: AR OTR1340) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AR OTR1340) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: AR OTR1340) | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2014-02-27 |