Organization
BRENTWOOD PHYSICAL THERAPY LIMITED
Active
Other names
Brentwood Center Of Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SHAWN TUCKER PT (PRESIDENT)
(314) 961-8940
Entity
Organization
Contact information
Practice address
2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-8940
(314) 961-8969
Mailing address
2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-8940
(314) 961-8969
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31348
BCBS
MO
Enumeration date
11/23/2005
Last updated
02/03/2013
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