| NPI | 1992827042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LYNN OWENS Owner Physical Therapist 870-523-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-11-07 |