Organization
REHABCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRISCILLA LEE GANT PTA (PTA)
(314) 340-6389
Entity
Organization
Contact information
Practice address
10600 LEWIS AND CLARK BLVD, SAINT LOUIS, MO 63136-6005
(314) 340-6389
Mailing address
1982 CATHEDRAL HILL DR, SAINT LOUIS, MO 63138-1520
(314) 355-9430
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
116873
MO
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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