Organization
ALLSTAR PHYSICAL THERAPY, LLC
Active
Parent organization
ALLSTAR PHYSICAL THERAPY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLSTAR PHYSICAL THERAPY, LLC
Authorized official
TIMOTHY SCOTT ZICKUS MPT (MEMBER MANAGER)
(314) 603-8299
Entity
Organization
Contact information
Practice address
1933 SCHUETZ RD, SAINT LOUIS, MO 63146-3550
(618) 416-6500
(618) 416-6503
Mailing address
221 W POINTE DR, SUITE 1, SWANSEA, IL 62226-8306
(618) 416-6500
(618) 416-6503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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