Organization
PHYSICAL THERAPY CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PEVNICK PT (OWNER)
(314) 653-0918
Entity
Organization
Contact information
Practice address
2865 NETHERTON DR, SAINT LOUIS, MO 63136-4674
(314) 653-0918
Mailing address
2865 NETHERTON DR, SAINT LOUIS, MO 63136-4674
(314) 653-0918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00394
MO
Other
Enumeration date
06/08/2006
Last updated
01/20/2015
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