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Organization
CVPT-OLIVETTE, LLC
Active
Organization
CVPT-OLIVETTE, LLC
Active
Other names
St. Louis Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J GORMAN PT, MOMT (OWNER)
(636) 728-1777
Entity
Organization
Contact information
Practice address
9437 OLIVE BLVD, OLIVETTE, MO 63132-3130
(636) 728-1777
(636) 728-1793
Mailing address
17300 N OUTER 40, SUITE 205, CHESTERFIELD, MO 63005-1364
(636) 728-1777
(636) 728-1793
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
103326
MO
Other
Enumeration date
08/16/2006
Last updated
11/29/2011
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