| NPI | 1932165982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART T ONG Owner 479-855-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT2113) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: AR PT1741) | |
| 225100000X Physical Therapist (Licence: AR PT2105) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2011-04-25 |