| NPI | 1669090775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J HINRICHS Owner 618-233-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2021-09-22 |