Organization
TRANSFIGURATION, INC.
Active
Other names
d.b.a. Des Peres Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAVENDER P.T. (PHYSICAL THERAPIST/OWNER)
(314) 821-6006
Entity
Organization
Contact information
Practice address
11247 MANCHESTER RD., KIRKWOOD, MO 63122
(314) 821-6006
(314) 821-6005
Mailing address
11247 MANCHESTER RD., KIRKWOOD, MO 63122
(314) 821-6006
(314) 821-6005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D06506
RAILROAD MEDICARE
MO
Enumeration date
05/03/2007
Last updated
12/30/2016
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