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Organization
LORMAX REHABILITATION INC
Active
Organization
LORMAX REHABILITATION INC
Active
Other names
Therapeutic Playtime
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LYNN WILD MPT (REGIONAL DIRECTOR)
(636) 464-5439
Entity
Organization
Contact information
Practice address
3488 JEFFCO BLVD, SUITE 102, ARNOLD, MO 63010-6015
(636) 464-5439
(636) 464-5438
Mailing address
3488 JEFFCO BLVD, SUITE 102, ARNOLD, MO 63010-6015
(636) 464-5439
(636) 464-5438
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
01/15/2007
Last updated
09/20/2018
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