| NPI | 1043358070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R PFITZNER President CEO 618-651-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MO 2003017534) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2022-04-20 |