| 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 |