| NPI | 1821233438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA LEE SEBAG-STOCKSTILL Office Manager 479-444-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-11 |