Organization
PROFESSIONAL REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WAYNE HENEBRY PT, DPT (OWNER/PT, DPT)
(636) 528-6080
Entity
Organization
Contact information
Practice address
108 PROFESSIONAL PKWY, TROY, MO 63379-2823
(636) 528-6080
(636) 528-3973
Mailing address
108 PROFESSIONAL PKWY, TROY, MO 63379-2823
(636) 528-6080
(636) 528-3973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
12/06/2017
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