| NPI | 1538642152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN K NOIRFAL Owner/Physical Therapist 314-814-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |