| NPI | 1386840023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A PUDLOWSKI Office Manager 314-822-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: MO 01354) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |