NPI | 1033166061 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY R PFITZNER CEO/President 618-651-0444 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
Enumeration Date | 2006-05-27 |
Last Update Date | 2024-03-08 |