Organization
BABAR ENTERPRISES LLC
Active
Other names
Excel Sports & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN N DAVIDSON (OWNER / AUTHORIZED OFFICIAL)
(636) 356-5000
Entity
Organization
Contact information
Practice address
1346 CLARKSON CLAYTON CTR, ELLISVILLE, MO 63011-2145
(636) 227-5200
(636) 227-5202
Mailing address
2454 W CLAY ST, SAINT CHARLES, MO 63301-2548
(636) 916-4625
(636) 916-4625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
06/25/2012
Last updated
04/14/2014
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