| NPI | 1972889251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA CASTRO MANO Physical Therapist 417-827-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 107655) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-11-02 |