Organization
ENVISION REHAB AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FIALA MOTR/L (DIRECTOR OF INTEGRATED HEALTH SERVI)
(636) 695-4330
Entity
Organization
Contact information
Practice address
7421 MEXICO RD STE 102, SAINT PETERS, MO 63376-1369
(636) 757-6543
(636) 639-4337
Mailing address
7421 MEXICO RD STE 102, SAINT PETERS, MO 63376-1369
(636) 757-6543
(636) 639-4337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/31/2020
Last updated
10/30/2020
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