Organization
MTS-ST. CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BORMAN PHD, PT, DMT, FAAOMP (OWNER)
(636) 728-1777
Entity
Organization
Contact information
Practice address
4075 N SAINT PETERS PKWY, SAINT PETERS, MO 63304-7396
(636) 685-0402
(636) 685-0403
Mailing address
17300 NORTH OUTER 40 RD, SUITE 202, CHESTERFIELD, MO 63005-1375
(636) 728-1777
(636) 728-1793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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