Organization
ST CLAIR PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMIL DOSTALIK (PRESIDENT)
(636) 629-8110
Entity
Organization
Contact information
Practice address
1135 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1012
(636) 629-8110
Mailing address
PO BOX 365, SAINT CLAIR, MO 63077-0365
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
02070
MO
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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