| NPI | 1205067857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MICHAEL D'AQUILA Physical Therapist 314-471-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2004033190) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |