NPI | 1114090792 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEREE R. BEHRNDT Owner 314-567-4707 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 002407) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 112005) |
235Z00000X Speech-Language Pathologist, (Licence: MO 2006024378) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2009-06-17 |