Mts-St. Charles

NPI #1295192003 in Saint Peters, Missouri

Provider Information

NPI Number: 1295192003
Entity Type: Organization
Organization Name: Mts-St. Charles
Primary Specialty: Physical Therapist
Enumeration Date: Jan 25, 2016
Last Updated: Jan 25, 2016

Practice Location

Address: 4075 N SAINT PETERS PKWY
City: Saint Peters
State: Missouri
ZIP Code: 63304-7396
Phone: (636) 685-0402

Authorized Official

Name: MICHAEL BORMAN, 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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