Organization
AMATO PHYSICAL THERAPY ASSOCIATES, LLC
Active
Other names
Excel Sports and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LAURENT (AUTHORIZED OFFICIAL)
(616) 356-5011
Entity
Organization
Contact information
Practice address
713 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6715
(314) 991-0480
Mailing address
11709 OLD BALLAS RD, SUITE 205, SAINT LOUIS, MO 63141-7029
(314) 991-0480
(314) 991-0487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00012
MO
Other
Enumeration date
06/25/2006
Last updated
04/30/2018
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