Individual
PATRICK RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SFMA
Contact information
Practice address
249 CLARKSON RD STE 101, ELLISVILLE, MO 63011
(636) 265-1505
(636) 266-2112
Mailing address
2315 HIGHWAY K, O FALLON, MO 63368-8659
(636) 265-1505
(636) 266-2112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014005586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01445568
RR MEDICARE
IL
Enumeration date
08/02/2013
Last updated
05/20/2019
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