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Pain Relief Associates LLC

Clinic/Center, Physical Therapy in Saint Charles, MO. Organization (NPI-2).

NPI number1457521189
StatusActive
Last updated in NPPESJul 2, 2012

Details

NPI
1457521189
Entity type
Organization (NPI-2)
Legal business name
Pain Relief Associates LLC
Organization subpart
No
Enumeration date
Mar 10, 2008
Last updated
Jul 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes
208100000X Physical Medicine & Rehabilitation––

Other names

  • Breakthrough Pain Relief Clinic (Doing Business As)

Practice location

190 Spring Dr
Saint Charles, MO 63303-3255

Phone 636-946-0799 · Fax 636-946-3166

Mailing address

Po Box 790126
Dept 10203
Saint Louis, MO 63179-0126

Phone 636-600-1137 · Fax 636-600-0412

Authorized official

Matthew J Wise
Managing Member
6369460799

Is something wrong?

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Other Physical Therapy Clinic/Center providers in Saint Charles, MO

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