| NPI | 1831874114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY KELLER CEO 870-336-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |