| NPI | 1881738896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY LOUISE NANNEY Executive Assistant 636-332-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2009-08-27 |