| NPI | 1134398498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R WILSON Owner 660-829-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MO 2001004858) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |