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 |