| NPI | 1669916904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE ST. GEMME Physical Therapist 918-520-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016034461) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |