| NPI | 1922488519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KENDALL Physical Therapist 618-292-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 7) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2022-07-21 |