Organization
MTS-OLIVETTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JUSTIN GORMAN PT, MOMT (OWNER/PHYSICAL THERAPIST)
(636) 728-1777
Entity
Organization
Contact information
Practice address
9437 OLIVE BLVD, OLIVETTE, MO 63132-3130
(314) 989-9500
(314) 989-9995
Mailing address
17300 N OUTER 40, SUITE 205, CHESTERFIELD, MO 63005-1364
(636) 728-1777
(636) 728-1793
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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