| NPI | 1730225590 |
|---|---|
| Other Name | GOOD SHEPHERD PEDIATRIC THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A. ROSE Executive Director 314-469-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2010-10-06 |