| NPI | 1841916707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEREK LAW Owner 479-275-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2025-07-14 |