NPI | 1124440789 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY T BERDAN Owner 573-808-5645 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 7651257-1204) |
Enumeration Date | 2014-01-15 |
Last Update Date | 2015-02-17 |