| NPI | 1144580382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MAYES Physical Therapy Assistant 636-949-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2020-01-06 |