| NPI | 1780800748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENA KAY MACKEY Administrator 479-719-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR824) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |