| NPI | 1982336988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JEFFREY COLE Owner 314-920-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-09-12 |