Organization
NUZUM IN HOME LLC
Active
Other names
IN Home Rehab St. Louis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ROBERT NUZUM PT (OWNER)
(314) 821-8304
Entity
Organization
Contact information
Practice address
2154 PARDOROYAL DR, SAINT LOUIS, MO 63131-1935
(314) 821-8304
(800) 327-1957
Mailing address
2154 PARDOROYAL DR, SAINT LOUIS, MO 63131-1935
(314) 821-8304
(800) 327-1957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197910
BCBS GROUP #
—
Enumeration date
12/07/2007
Last updated
02/04/2008
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