| NPI | 1255624102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ORAVEC VP/COO 618-651-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |