| NPI | 1114155124 |
|---|---|
| Doing Business As | PERFORMANCE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | RAVI YADAVA Physician 314-994-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 104036) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |