Organization
PROGRESSIVE PHYSICAL AND SPORTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA LEE TRACY P.T. (OWNER)
(636) 300-4600
Entity
Organization
Contact information
Practice address
1043 WOLFRUM RD, WELDON SPRING, MO 63304-7625
(636) 300-4600
(636) 300-4603
Mailing address
1043 WOLFRUM RD, WELDON SPRING, MO 63304-7625
(636) 300-4600
(636) 300-4603
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01952
MO
Other
Enumeration date
01/17/2012
Last updated
06/21/2013
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