| NPI | 1780920298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANEE G HUBBLE Owner 870-761-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR 261QP2000X) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |