Mts-St. Charles
Physical Therapist in Saint Peters, MO. Organization (NPI-2).
NPI number1295192003
StatusActive
Last updated in NPPESJan 25, 2016
Details
- NPI
- 1295192003
- Entity type
- Organization (NPI-2)
- Legal business name
- Mts-St. Charles
- Organization subpart
- No
- Enumeration date
- Jan 25, 2016
- Last updated
- Jan 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
4075 N Saint Peters PkwySaint Peters, MO 63304-7396
Phone 636-685-0402 · Fax 636-685-0403
Mailing address
17300 North Outer 40 RdSuite 202
Chesterfield, MO 63005-1375
Phone 636-728-1777 · Fax 636-728-1793
Authorized official
Michael Borman
Owner
6367281777
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All 91 Physical Therapist providers in Saint Peters · All 1,786 providers in Saint Peters
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