| NPI | 1770899122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC WATTS Owner 870-329-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR 1983) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AR 6052) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |