Organization
INNOVATIVE THERAPY SERVICES, LLC
Active
Other names
Mobile Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY BRUCE ABRAMS PT (PRESIDENT)
(314) 255-9749
Entity
Organization
Contact information
Practice address
1310 PAPIN ST, SUITE 109, SAINT LOUIS, MO 63103-3132
(315) 558-1385
(314) 335-7770
Mailing address
1310 PAPIN ST, SUITE 109, SAINT LOUIS, MO 63103-3132
(315) 558-1385
(314) 335-7770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005012155
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504583105
—
MO
Enumeration date
06/06/2007
Last updated
03/20/2015
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