| NPI | 1790894962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH PITTS Office Manager 573-517-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2004033967) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-10-08 |