| NPI | 1003904079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VERE HALLIDAY Clinic Director 417-836-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |