| NPI | 1366033961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE LUC Owner 314-504-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology |
| Additional Taxonomies | 174H00000X Health Educator |
| 2251X0800X Physical Therapist, Orthopedic | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2022-02-24 |