NPI | 1073960746 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DECKER Physician/Owner 816-896-1355 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20a13087) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2016-05-23 |