| NPI | 1083887418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA ELAINE HEISLER Program Director 573-581-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 116687) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |