| NPI | 1366164279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHLABERTE SAINTLOUIS CEO 786-348-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-10-04 |