| NPI | 1720868037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE GIMPLE Owner 417-576-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-12-21 |