Organization
POTENTIAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER R BROWN PT (OWNER)
(573) 608-5058
Entity
Organization
Contact information
Practice address
60 PLAZA DR, STE GENEVIEVE, MO 63670-1800
(573) 608-5058
(844) 912-8618
Mailing address
60 PLAZA DR, STE GENEVIEVE, MO 63670-1800
(573) 608-5058
(844) 912-8618
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2001001890
MO
Other
Enumeration date
07/24/2016
Last updated
08/29/2022
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