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Organization

FLORISSANT CHIROPRACTIC AND REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDEN RACE DC (VICE PRESIDENT)
(636) 345-8400
Entity
Organization

Contact information

Practice address
1265 GRAHAM RD, FLORISSANT, MO 63031-8018
(314) 395-6200
Mailing address
1265 GRAHAM RD, FLORISSANT, MO 63031-8018

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
261QP2000X
Physical Therapy Clinic/Center
363L00000X
Nurse Practitioner

Other

Enumeration date
04/28/2021
Last updated
04/28/2021
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