| NPI | 1821059759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E FREYALDENHOVEN Owner 501-932-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AR E3108) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2011-06-16 |