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Contact Information

ACCIDENT & SPORTS REHAB CORP
6307 HAZELWEST CT
SUITE 100
HAZELWOOD, MO63042-1739
 Phone: 314-895-3328
 Fax: 314-731-4832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACCIDENT SPORTS REHAB CORP · (Female)

NPI Number 1013134923
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2007
Last updated 12/04/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 005912
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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