# ST CLAIR PHYSICAL THERAPY INC

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

## Provider details

- **NPI number:** 1982914818
- **Authorized official:** MR. KAMIL DOSTALIK (PRESIDENT)
- **Authorized official phone:** (636) 629-8110

## Contact information

- **Practice address:** 1135 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1012
- **Practice address phone:** (636) 629-8110
- **Mailing address:** PO BOX 365, SAINT CLAIR, MO 63077-0365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 02070 | MO | Yes |

## Other

- **Enumeration date:** 10/13/2010
- **Last updated:** 10/13/2010