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Organization

MICHAEL DIBERNARDO THERAPY SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL DIBERNARDO (SOLE OWNER)
(314) 219-8883
Entity
Organization

Contact information

Practice address
801 RUE SAINT FRANCOIS ST STE D, FLORISSANT, MO 63031-4948
(314) 219-8883
Mailing address
1480 SAINT CATHERINE ST, FLORISSANT, MO 63033-3410
(425) 791-2550

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490042224
MO
Enumeration date
09/24/2019
Last updated
09/24/2019
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