Organization
SSM SELECT REHAB ST LOUIS LLC
Active
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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