# PAIN MANAGEMENT REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831468446
- **Authorized official:** DR. DALE JOSEPH KLEIN M.D. (PHYSICIAN)
- **Authorized official phone:** (636) 294-6322

## Contact information

- **Practice address:** 103 CHURCH ST, O FALLON, MO 63366-2894
- **Practice address phone:** (636) 294-6322
- **Practice address fax:** (636) 294-6323
- **Mailing address:** 103 CHURCH ST, O FALLON, MO 63366-2894
- **Mailing address phone:** (636) 294-6322
- **Mailing address fax:** (636) 294-6323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 2006031936 | MO | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 01/09/2012