Organization
PRO-MOTION PT LLC
Active
Other names
Pro-Motion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZHAR SHAH MSPT (OWNER/PHYSICAL THERAPIST)
(314) 686-3008
Entity
Organization
Contact information
Practice address
4642 SHENANDOAH AVE, SAINT LOUIS, MO 63110-3424
(314) 686-3008
Mailing address
3943 JUNIATA ST, SAINT LOUIS, MO 63116-3911
(314) 686-3008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007028770
MO
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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