| NPI | 1780478818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WEDDING Owner 636-299-3357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-04-05 |
| Last Update Date | 2025-05-07 |