| NPI | 1083735138 |
|---|---|
| Doing Business As | GOOD SHEPHERD PEDIATRIC THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A ROSE Executive Director 314-469-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-12-02 |