Organization
JDV PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNE FULLER (OFFICE MANAGER)
(618) 978-6432
Entity
Organization
Contact information
Practice address
5850 NEOSHO ST, SAINT LOUIS, MO 63109-3118
(618) 792-9734
Mailing address
5850 NEOSHO ST, SAINT LOUIS, MO 63109-3118
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
01/07/2026
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