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 |