| NPI | 1902047640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANA SCROGGINS Office Manager 417-889-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MO 115001) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |