| NPI | 1194564658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN NEWCOMER Owner, Physical Therapist 636-208-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |