| NPI | 1992923429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECELIA M KILLOUGH President 870-208-9572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |