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Organization

OPTIONS IN PYHSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN EVERSON (OWNER)
(314) 749-9599
Entity
Organization

Contact information

Practice address
777 S NEW BALLAS RD, SUITE 218E, SAINT LOUIS, MO 63141-8705
(314) 749-9599
Mailing address
5026 GLENNON DR, SAINT LOUIS, MO 63119-4328
(314) 749-9599

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
03/02/2017
Last updated
03/02/2017
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