NPI | 1861605735 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE Y TOLLIVER Pres 417-887-0222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MO BUS98-04435) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2013-04-17 |