| NPI | 1578990446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MIDDLETON Director Of Rehabilitation & Sports 618-559-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |