| NPI | 1699119677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY R ANDERSON Medical Director 314-544-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO R7H67) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2007000308) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |