| NPI | 1790156610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER K COLEMAN Sr. Vice President 618-874-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |