# JUDICE CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Judice Sports and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629590955
- **Authorized official:** DR. GREGORY CHARLES JUDICE PT, DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (225) 505-6659

## Contact information

- **Practice address:** 700 SHALLOWCREEK VW, BALLWIN, MO 63021-6618
- **Practice address phone:** (225) 505-6659
- **Mailing address:** 700 SHALLOWCREEK VW, BALLWIN, MO 63021-6618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 2014027053 | MO | Yes |

## Other

- **Enumeration date:** 07/07/2017
- **Last updated:** 07/18/2017