Organization
IMOVE TELEPT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J GORMAN PHD, PT (OWNER)
(636) 578-3649
Entity
Organization
Contact information
Practice address
2018 LONG GATE CT, CHESTERFIELD, MO 63017-7415
(636) 578-3649
Mailing address
2018 LONG GATE CT, CHESTERFIELD, MO 63017-7415
(636) 578-3649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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