| NPI | 1982644753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA J WHITLOCK Owner 479-890-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |