| NPI | 1528766185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDOARDO FERRARI Doctorate Of Physical Therapy 618-789-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |