Organization
AQUATIC FITNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET PRATT P.T. (OWNER/PHYSICAL THERAPIST)
(314) 205-2006
Entity
Organization
Contact information
Practice address
12539 OLIVE BLVD, SAINT LOUIS, MO 63141-6311
(314) 205-2006
(314) 205-2241
Mailing address
12539 OLIVE BLVD, SAINT LOUIS, MO 63141-6311
(314) 205-2006
(314) 205-2241
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01821
MO
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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