Organization
FULL CIRCLE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE GENEVIEVE SHANNON P.T. (OWNER)
(314) 495-8718
Entity
Organization
Contact information
Practice address
1000 DES PERES RD, 120, SAINT LOUIS, MO 63131-2050
(314) 495-8718
(314) 962-7701
Mailing address
1 ANGEST CIR, SAINT LOUIS, MO 63119-4201
(314) 495-8718
(314) 962-7701
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2006028602
MO
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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