| NPI | 1114670742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN CHRISTINE PONDER Owner 636-465-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-01-30 |