Organization
PROREHAB PC
Active
Other names
ATHLETICO PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
GERI COOK (DIRECTOR OF CLINICAL SERVICES)
(630) 575-1940
Entity
Organization
Contact information
Practice address
6309 RONALD REAGAN DR, LAKE ST LOUIS, MO 63367-2681
(636) 755-4566
(636) 561-0242
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/28/2016
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