# JDV PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1861274284
- **Authorized official:** BRITTNE FULLER (OFFICE MANAGER)
- **Authorized official phone:** (618) 978-6432

## Contact information

- **Practice address:** 5850 NEOSHO ST, SAINT LOUIS, MO 63109-3118
- **Practice address phone:** (618) 792-9734
- **Mailing address:** 5850 NEOSHO ST, SAINT LOUIS, MO 63109-3118

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2023
- **Last updated:** 01/07/2026