| NPI | 1598036907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LEE TRACY Owner 636-300-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 01952) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2013-06-21 |