| NPI | 1740400779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN O KELLEY Owner Director 314-726-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO R0063) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-06-24 |