NPI | 1558032540 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA SHEPHERD Coordinator 314-315-5148 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
Enumeration Date | 2021-09-21 |
Last Update Date | 2021-09-21 |