| NPI | 1710668041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN RICKMAN Owner 573-609-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-01-09 |