| NPI | 1811209166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HOSKINDS Manager 501-454-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-06-14 |