Organization
MIDWEST PHYSICAL REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J ANTHONY PT (OWNER)
(636) 227-0559
Entity
Organization
Contact information
Practice address
14821 CLAYTON RD, CHESTERFIELD, MO 63017-7881
(636) 227-0559
(636) 227-0232
Mailing address
14821 CLAYTON RD, CHESTERFIELD, MO 63017-7881
(636) 227-0559
(636) 227-0232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02178
MO
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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