Prorehab PC

NPI #1043661465 in Lake St Louis, Missouri

Provider Information

NPI Number: 1043661465
Entity Type: Organization
Organization Name: Prorehab PC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 27, 2016
Last Updated: Jun 28, 2016

Practice Location

Address: 6309 RONALD REAGAN DR
City: Lake St Louis
State: Missouri
ZIP Code: 63367-2681
Phone: (636) 755-4566

Authorized Official

Name: GERI COOK
Title: DIRECTOR OF CLINICAL SERVICES
Phone: (630) 575-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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