| NPI | 1699710871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R EARNHART Business Office Manager 314-416-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 19075103) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 19075103) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |