Organization
JEFFERSON COUNTY REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMAS CIBULKA PT (OWNER)
(636) 931-7600
Entity
Organization
Contact information
Practice address
1330 YMCA DR, SUITE 1200, FESTUS, MO 63028-2661
(636) 931-7600
(636) 931-8808
Mailing address
1330 YMCA DR, SUITE 1200, FESTUS, MO 63028-2661
(636) 931-7600
(636) 931-8808
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
00947
MO
Other
Enumeration date
03/16/2007
Last updated
09/30/2014
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