Organization
TRIUMPH REHAB AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY BOLEN SLP (OWNER/PRESIDENT)
(636) 346-2219
Entity
Organization
Contact information
Practice address
8124 KNIGHTS CROSSING CT, O FALLON, MO 63368-6225
(636) 346-2219
(314) 266-3927
Mailing address
8124 KNIGHTS CROSSING CT, O FALLON, MO 63368-6225
(636) 346-2219
(314) 266-3927
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
08/28/2023
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