Organization
PROREHAB PC
Active
Other names
ATHLETICO PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
GERI COOK (VP OF BILLING OPERATIONS)
(630) 575-1980
Entity
Organization
Contact information
Practice address
343 WINDING WOODS CTR, O FALLON, MO 63366-4170
(636) 439-2004
(636) 439-2054
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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