| NPI | 1952184699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DOMALEWSKI Physical Therapist Co Owner 314-626-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |