| NPI | 1821342619 |
|---|---|
| Doing Business As | BREAKTHROUGH PAIN RELIEF CLINICS |
| Entity Type | Organization |
| Authorized Contact | CANDACE M MANGRUM Billing 314-275-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2005031148) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2013-01-28 |