| NPI | 1750018743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SMITH Physical Therapist/ Owner 636-524-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |