| NPI | 1164771606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNI SPEARS COO 417-895-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |