| NPI | 1780654764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN ASHWORTH Owner 479-651-3389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 806) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2025-11-13 |