Organization
ST. JOHN'S MERCY CHILD DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM HELENE RUPP P.T. (PHYSICAL THERAPIST)
(314) 872-3345
Entity
Organization
Contact information
Practice address
641 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6713
(314) 872-3345
(314) 872-3180
Mailing address
641 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6713
(314) 872-3345
(314) 872-3180
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
2003016370
MO
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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