Organization · NPI-2

4home Physical Therapy LLC

Physical Therapist · Saint Louis, MO

NPI number1467142885
StatusActive
Last updated in NPPESMay 9, 2023

Details

NPI
1467142885
Entity type
Organization (NPI-2)
Legal business name
4home Physical Therapy LLC
Organization subpart
No
Enumeration date
May 9, 2023
Certification date
May 9, 2023
Last updated
May 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

2117 Hillsgate Ct
Saint Louis, MO 63146-2210

Phone 314-223-4988

Mailing address

2117 Hillsgate Ct
Saint Louis, MO 63146-2210

Phone 314-223-4988

Authorized official

Brian Sallade
Owner
3142234988

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