| NPI | 1851807424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN N TIARKS Physical Therapist, Owner 479-619-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR PT3288) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |