| NPI | 1972315364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG WEINER Managing Director 417-678-2169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |