Organization
JUDICE CONSULTING LLC
Active
Other names
Judice Sports and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CHARLES JUDICE PT, DPT (OWNER/PHYSICAL THERAPIST)
(225) 505-6659
Entity
Organization
Contact information
Practice address
700 SHALLOWCREEK VW, BALLWIN, MO 63021-6618
(225) 505-6659
Mailing address
700 SHALLOWCREEK VW, BALLWIN, MO 63021-6618
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2014027053
MO
Other
Enumeration date
07/07/2017
Last updated
07/18/2017
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