Missouri Rehab, LLC
NPI #1568037794 in Bonne Terre, Missouri
Provider Information
- NPI Number
- 1568037794
- Entity Type
- Organization
- Organization Name
- Missouri Rehab, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- May 20, 2021
- Last Updated
- May 20, 2021
Practice Location
- Address
- 10 LAKE DR
- City
- Bonne Terre
- State
- Missouri
- ZIP Code
- 63628-1820
- Phone
- (573) 335-3044
Authorized Official
- Name
- SHAFIQ MALIK
- Title
- OWNER/PRESIDENT
- Phone
- (573) 335-3044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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