| NPI | 1083290209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRIANNE LEE Owner/Physical Therapist 573-631-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |