| NPI | 1295929644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R PFITZNER CEO President 618-651-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2021-09-02 |