| NPI | 1902194756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TALLON President 501-985-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |