Organization
THERAPEUTIC INNOVATIONS LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MICHAEL D'AQUILA M.P.T. (PHYSICAL THERAPIST)
(314) 471-1881
Entity
Organization
Contact information
Practice address
563 CLIFF CAVE RD, SAINT LOUIS, MO 63129-4415
(314) 293-2463
Mailing address
563 CLIFF CAVE RD, SAINT LOUIS, MO 63129-4415
(314) 293-2463
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2004033190
MO
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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