Organization
JUSTUPRIGHT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINALYN LACSON RUDER DPT (PRESIDENT)
(314) 287-0757
Entity
Organization
Contact information
Practice address
4977 SEIBERT AVE, AFFTON, MO 63123-4736
(314) 287-0757
Mailing address
4977 SEIBERT AVE, AFFTON, MO 63123-4736
(314) 287-0757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012009718
MISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS
MO
Enumeration date
07/15/2020
Last updated
07/22/2020
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