Organization
MISSOURI PHYSICAL THERAPY SERVICES OF CREVE COEUR, LLC
Active
Other names
Missouri Physical Therapy Services of Creve Coeur
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1 NEW BALLAS PL, SAINT LOUIS, MO 63146-8700
(414) 720-1044
(314) 720-1047
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/21/2023
Last updated
05/06/2024
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