| NPI | 1477304483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SCHULER Credentialing Specialist 660-383-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |