| NPI | 1992216642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT BACCHUS Physical Therapist 479-746-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR PT4282) |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2017-10-21 |