Organization
RELIANT CARE REHABILITATIVE SERVICES L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J DESTEFANE (PRESIDENT)
(314) 543-3800
Entity
Organization
Contact information
Practice address
2011 CORONA RD, SUITE 301, COLUMBIA, MO 65203-2548
(314) 543-3860
(314) 272-0343
Mailing address
2011 CORONA RD, SUITE 301, COLUMBIA, MO 65203-2548
(314) 543-3860
(314) 272-0343
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
03/14/2012
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