| NPI | 1598859571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL GLORIOD Administrator 314-842-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2000169045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2003011113) |
| 225200000X Physical Therapy Assistant (Licence: MO 116851) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |