| NPI | 1073283198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MCKEE Vice President 314-454-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-23 |