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Organization
ADVANCED SPORTS AND REHAB, LLC
Active
Organization
ADVANCED SPORTS AND REHAB, LLC
Active
Other names
Semo Sports and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DENNIS KEELING M.A., CCC-SLP (ADMINISTRATOR)
(573) 718-2699
Entity
Organization
Contact information
Practice address
1011 S MADISON ST, MALDEN, MO 63863-2462
(573) 276-4999
(573) 276-5084
Mailing address
1899 N WESTWOOD BLVD, SUITE C, PMB 113, POPLAR BLUFF, MO 63901-2833
(573) 785-3966
(573) 785-3966
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
02/27/2013
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