| NPI | 1528010626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CARSON Office Manager, Secretary 573-302-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 107424) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-07-05 |