NPI | 1477871101 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL R RILEY President 618-234-9705 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2010-05-05 |
Last Update Date | 2013-02-08 |