| NPI | 1629492111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN WASHECK Owner/Physical Therapist 636-699-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |