Organization
OPTIMAL MOVEMENT REHABILITATION AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY STILTS (BUSINESS MANAGER)
(314) 472-3877
Entity
Organization
Contact information
Practice address
1410 STRASSNER DR, BRENTWOOD, MO 63144-1871
(314) 472-3877
(314) 237-1035
Mailing address
1410 STRASSNER DR, BRENTWOOD, MO 63144-1871
(314) 472-3877
(314) 237-1035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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