NPI | 1750762308 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD SPEARS WILCOX Owner 870-565-8677 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT2195) |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist (Licence: AR SP#1381) | |
Enumeration Date | 2015-06-09 |
Last Update Date | 2015-06-09 |