| NPI | 1891572962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETTE K SCHNEIDER Administrative Manager 573-777-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |