NPI | 1043813975 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVIE A SHEW Physical Therapist 618-562-8142 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Enumeration Date | 2020-11-22 |
Last Update Date | 2020-11-22 |