| NPI | 1780022137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TUPAS LAGUITAO Chief Operating Officer 573-528-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 02189) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |