| NPI | 1558557959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A VISHION Owner 314-275-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2012-11-29 |