| NPI | 1558611426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE THERESE CHRISTOPHER Sole Proprietor 314-205-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MO 2006026937) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2021-08-13 |