| NPI | 1831406065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JOHNSON Physical Therapist/Owner 870-680-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 1729) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |