Organization
CVPT-ST. CHARLES, LLC
Active
Other names
St. Louis Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J GORMAN PHD, PT, DMT, FAAOMP (OWNER)
(636) 728-1777
Entity
Organization
Contact information
Practice address
4075 N SAINT PETERS PKWY, SAINT PETERS, MO 63304-7396
(636) 728-1777
Mailing address
17300 NORTH OUTER 40 RD, SUITE 202, CHESTERFIELD, MO 63005-1375
(636) 728-1777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010025564
MO
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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