Cvpt-St. Charles, LLC

NPI #1043684202 in Saint Peters, Missouri

Provider Information

NPI Number: 1043684202
Entity Type: Organization
Organization Name: Cvpt-St. Charles, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 25, 2015
Last Updated: Nov 25, 2015

Practice Location

Address: 4075 N SAINT PETERS PKWY
City: Saint Peters
State: Missouri
ZIP Code: 63304-7396
Phone: (636) 728-1777

Authorized Official

Name: MICHAEL J GORMAN, PHD, PT, DMT, FAAOMP
Title: OWNER
Phone: (636) 728-1777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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