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Organization
ST. JOHN'S MERCY CHILD DEVELOPMENT CENTER
Active
Organization
ST. JOHN'S MERCY CHILD DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM HELENE RUPP P.T. (PHYSICAL THERAPIST)
(314) 872-3345
Entity
Organization
Contact information
Practice address
641 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6713
(314) 872-3345
(314) 872-3180
Mailing address
641 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6713
(314) 872-3345
(314) 872-3180
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
2003016370
MO
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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