| NPI | 1750826855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA SUE WILLIAMS Member 501-772-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |