Organization
REHAB IN ACTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM CHOWDHRY D.O. (PRESIDENT)
(314) 317-5803
Entity
Organization
Contact information
Practice address
14709 OLIVE BLVD, CHESTERFIELD, MO 63017-2221
(314) 317-5803
(314) 317-5948
Mailing address
PO BOX 50037, SAINT LOUIS, MO 63105-5037
(314) 317-5803
(314) 317-5948
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215108337
—
MO
Enumeration date
10/03/2014
Last updated
01/09/2015
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