Organization
PROREHAB, PC
Active
Other names
ATHLETICO PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
GERI COOK (DIRECTOR OF CLINICAL SERVICES)
(630) 575-1940
Entity
Organization
Contact information
Practice address
8023 W FLORISSANT AVE STE A, JENNINGS, MO 63136-1448
(314) 833-1000
(314) 833-1001
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
C1618
MO
Other
Enumeration date
07/09/2014
Last updated
01/17/2020
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