| NPI | 1962016774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY FIALA Director Of Integrated Health Servi 636-695-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-10-30 |