| NPI | 1053781468 |
|---|---|
| Doing Business As | FYZICAL THERAPY AND BALANCE |
| Entity Type | Organization |
| Authorized Contact | TAWANA SPANN President 314-363-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 112062) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |