| NPI | 1851579601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JEAN PARKER Clinic Manager/Owner 417-624-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 114999) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2012-11-02 |