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Organization
JUDICE CONSULTING LLC
Active
Organization
JUDICE CONSULTING LLC
Active
Other names
Judice Sports and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CHARLES JUDICE PT, DPT (OWNER/PHYSICAL THERAPIST)
(225) 505-6659
Entity
Organization
Contact information
Practice address
700 SHALLOWCREEK VW, BALLWIN, MO 63021-6618
(225) 505-6659
Mailing address
700 SHALLOWCREEK VW, BALLWIN, MO 63021-6618
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2014027053
MO
Other
Enumeration date
07/07/2017
Last updated
07/18/2017
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