Organization
PHYSICAL THERAPY & REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLINDA T EULALIA RPT (PRESIDENT)
(314) 629-8107
Entity
Organization
Contact information
Practice address
4072 LOCKPORT DRIVE, NONE, BRIDGETON, MO 63044
(314) 629-8107
Mailing address
4072 LOCKPORT DRIVE, NONE, BRIDGETON, MO 63044
(314) 629-8107
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
R1038
MO
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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