| NPI | 1932523719 |
|---|---|
| Doing Business As | OLIVE STREET INJURY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIO RODRIGUEZ Owner 314-371-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |