| NPI | 1902304876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WADE LEE Owner/Therapist 479-725-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR PT1914) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |