| NPI | 1043441124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN BECKERS Rece PT Ionist 417-882-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO 2003014006) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 33472) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |