Organization
CVPT- LAKE SAINT LOUIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J WASHECK PT (OWNER/PHYSICAL THERAPIST)
(636) 699-9357
Entity
Organization
Contact information
Practice address
9961 WINGHAVEN BLVD, O FALLON, MO 63368-3623
(636) 728-1777
Mailing address
9961 WINGHAVEN BLVD, O FALLON, MO 63368-3623
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MO
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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