# ADVANCED NEURO REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376822791
- **Authorized official:** MICHAEL BENDER OTR (OWNER)
- **Authorized official phone:** (314) 291-9900

## Contact information

- **Practice address:** 36 FOUR SEASONS CENTER, \#202, CHESTERFIELD, MO 63017-3103
- **Practice address phone:** (314) 291-9900
- **Mailing address:** 36 FOUR SEASONS CENTER, \#202, CHESTERFIELD, MO 63017-3103
- **Mailing address phone:** (314) 291-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | MO | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011