| NPI | 1710324850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA J BRANDT Owner/Administrator 573-265-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 200174333) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2014-11-30 |