| NPI | 1497980700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY SELMAN Physical Therapist/Principal 636-346-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 08150) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: MO 08150) |
| Enumeration Date | 2009-05-17 |
| Last Update Date | 2009-05-17 |