| NPI | 1992706477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT H JACKSON President/PT 501-676-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AR PT1452) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-08-24 |