Prorehab PC
Physical Therapist in Saint Louis, MO. Organization (NPI-2).
NPI number1053820175
StatusActive
Last updated in NPPESSep 20, 2017
Details
- NPI
- 1053820175
- Entity type
- Organization (NPI-2)
- Legal business name
- Prorehab PC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2017
- Last updated
- Sep 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
11525 Olde Cabin Rd Ste 1Saint Louis, MO 63141-7146
Phone 636-239-9979 · Fax 636-239-5442
Mailing address
625 Enterprise DrOak Brook, IL 60523-8813
Authorized official
Geri Cook
Vp Of Billing Operations
6305751940
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