| NPI | 1093051146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN D MONROE Director 314-436-3200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 227800000X Respiratory Therapist, Certified | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |