Organization
ST. LOUIS ARC INC
Active
Parent organization
ST. LOUIS ARC INC.
Other names
St Louis Arc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LOUIS ARC INC.
Authorized official
KATHLEEN TISONE (VP OPERATIONS)
(314) 569-2211
Entity
Organization
Contact information
Practice address
1177 N. WARSON RD., ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-3656
Mailing address
1177 N. WARSON RD., ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-3656
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
507387603
MO
225XP0200X
Pediatric Occupational Therapist
507387603
MO
235Z00000X
Speech-Language Pathologist
Primary
507387603
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507387603
—
MO
Enumeration date
02/06/2007
Last updated
07/13/2012
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