# ST LOUIS MEDICAL REHAB GROUP LLC

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

## Provider details

- **NPI number:** 1871888693
- **Authorized official:** DR. AHMED ALI M.D. (CEO)
- **Authorized official phone:** (314) 443-8667

## Contact information

- **Practice address:** 8045 BIG BEND BLVD, SUITE 201, WEBSTER GROVES, MO 63119-2714
- **Practice address phone:** (314) 443-8667
- **Mailing address:** 8045 BIG BEND BLVD, SUITE 201, WEBSTER GROVES, MO 63119-2714
- **Mailing address phone:** (314) 443-8667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 4301089175 | MI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301089175 | MI | Yes |

## Other

- **Enumeration date:** 06/09/2011
- **Last updated:** 08/05/2011