Organization
SSM SELECT REHAB ST LOUIS LLC
Active
Other names
SSM Health Neuro Transitional Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DUGGAN (VP)
(717) 975-4503
Entity
Organization
Contact information
Practice address
700 S WOODLAWN AVE, O FALLON, MO 63366-3026
(717) 972-1100
Mailing address
4714 GETTYSBURG RD, MELANIE NOTARIO, MECHANICSBURG, PA 17055
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
11/26/2024
Last updated
09/10/2025
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