| NPI | 1841457124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA SCOGNAMIGLIO REID Owner/President 314-439-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-06-25 |