Organization
CVPT-OLIVETTE, LLC
Active
Parent organization
CVPT-OLIVETTE, LLC
Other names
St. Louis Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CVPT-OLIVETTE, LLC
Authorized official
MICHAEL GORMAN PT, MOMT (OWNER)
(636) 728-1777
Entity
Organization
Contact information
Practice address
2558 GLADIATOR DR, FENTON, MO 63026-2285
(636) 861-6969
Mailing address
17300 N OUTER 40, SUITE 205, CHESTERFIELD, MO 63005-1364
(636) 728-1777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
01/09/2008
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