| NPI | 1093801953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE E WAGAR-HARRIS President 636-928-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 00801) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |