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Organization
BRENTWOOD PHYSICAL THERAPY LIMITED
Active
Organization
BRENTWOOD PHYSICAL THERAPY LIMITED
Active
Other names
Brentwood Center Of Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SHAWN TUCKER PT (PRESIDENT)
(314) 961-8940
Entity
Organization
Contact information
Practice address
2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-8940
(314) 961-8969
Mailing address
2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-8940
(314) 961-8969
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/23/2005
Last updated
02/03/2013
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