# ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Telegraph Road Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649313594
- **Authorized official:** MR. EARL BRADEN BRASFIELD M.S.P.T., O.C.S. (DIRECTOR, PRESIDENT, AND CEO)
- **Authorized official phone:** (314) 894-9008

## Contact information

- **Practice address:** 2716 TELEGRAPH RD, SUITE \#107, SAINT LOUIS, MO 63125-4078
- **Practice address phone:** (314) 894-9008
- **Practice address fax:** (314) 894-1232
- **Mailing address:** 2716 TELEGRAPH RD, SUITE \#107, SAINT LOUIS, MO 63125-4078
- **Mailing address phone:** (314) 894-9008
- **Mailing address fax:** (314) 894-1232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | PT118376 | MO | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020