Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI Number | 1588704654 |
| LBN Legal business name | PHYSICAL THERAPY OF FERGUSON-FLORISSANT LLC |
| Authorized official | JANET VANDERBECK - (OWNER, DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/07/2007 |
| Last updated | 10/31/2011 - About 15 years ago |
| Identifiers | n/a |
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