| NPI | 1053593319 |
|---|---|
| Doing Business As | ATHLETIC THERAPY & REHABILITATION DEPARTMEN |
| Entity Type | Organization |
| Authorized Contact | RICK LARSEN Head Athletic Trainer 314-935-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 00062) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |