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Organization

REHABILITATION PROFESSIONALS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN GORDON PT (VICE PRESIDENT)
(314) 644-1978
Entity
Organization

Contact information

Practice address
950 FRANCIS PL STE 115, CLAYTON, MO 63105-2465
(314) 916-8751
(314) 644-5730
Mailing address
1034 S BRENTWOOD BLVD, SUITE 300, RICHMOND HEIGHTS, MO 63117-1203
(314) 644-1978
(314) 647-1350

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02232
MO
225100000X
Physical Therapist
102882
MO
225100000X
Physical Therapist
Primary
105413
MO
225100000X
Physical Therapist
2005040574
MO
225100000X
Physical Therapist
2006032824
MO
225100000X
Physical Therapist
R0877
MO
225X00000X
Occupational Therapist
002775
MO
235Z00000X
Speech-Language Pathologist
146.007307
IL
235Z00000X
Speech-Language Pathologist
2004006992
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120046
BCBS PROVIDER NUMBER
MO
01
120047
BCBS PROVIDER NUMBER
MO
01
120764
BCBS PROVIDER NUMBER
MO
01
481617
HEALTHLINK PROVIDER NUMBE
MO
01
990001493
TRICARE PROVIDER NUMBER
MO
Enumeration date
12/20/2006
Last updated
02/07/2024
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