| NPI | 1851619357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M. WULF President 479-271-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2015-02-26 |