| NPI | 1073531018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R PFITZNER CEO President 618-651-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2004015329) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |