| NPI | 1073753232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUSTIN GORMAN Owner/Physical Therapist 636-728-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |