Organization
PHYSICAL THERAPY SPINE & SPORTS MEDICINE LLC
Active
Other names
CORA Physical Therapy - St. Peters
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KRZYMINSKI (SENIOR VP)
(419) 221-6717
Entity
Organization
Contact information
Practice address
2046 QUEENS BROOKE BLVD, SUITE 101, ST. PETERS, MO 63376-7852
(419) 221-6717
(419) 222-0507
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
10/19/2023
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