| NPI | 1841732898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI AHMED Owner 314-736-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-12-03 |