| NPI | 1861830614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LYNN COOK Owner, President, C. Ped. 479-890-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR OPP00035) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-07-02 |