| NPI | 1992984041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATA SOLANKI Office Manager 314-469-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 103749) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2013-09-04 |