Ellisville Rehab Center, INC
NPI #1104127844 in Ellisville, Missouri
Provider Information
- NPI Number
- 1104127844
- Entity Type
- Organization
- Organization Name
- Ellisville Rehab Center, INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Nov 11, 2010
- Last Updated
- Nov 11, 2010
Practice Location
- Address
- 16075 MANCHESTER RD
- City
- Ellisville
- State
- Missouri
- ZIP Code
- 63011-2103
- Phone
- (636) 256-0880
Authorized Official
- Name
- LESLIE ANNE SIESS, D.C,.
- Title
- OWNER
- Phone
- (636) 256-0880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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