National Provider Identifier Database

PHYSICAL THERAPY OF FERGUSON FLORISSANT LLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

PHYSICAL THERAPY OF FERGUSON-FLORISSANT LLC
10859 W FLORISSANT AVE
FERGUSON, MO63136-2405
Phone: 314-521-3000
Fax: 314-521-7800
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for PHYSICAL THERAPY OF FERGUSON-FLORISSANT LLC

NPI Number 1588704654
Legal business name
LBN
PHYSICAL THERAPY OF FERGUSON-FLORISSANT LLC
Authorized official JANET VANDERBECK - (OWNER, DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/07/2007
Last updated 10/31/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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