| NPI | 1932172608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN KAY BRUCE President 479-409-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR OTR582) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-08-22 |