| NPI | 1922309475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARTELL DANTE TREADWELL Owner 870-292-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT3059) |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2021-02-27 |