Cvpt-Des Peres, LLC

NPI #1942531215 in Des Peres, Missouri

Provider Information

NPI Number: 1942531215
Entity Type: Organization
Organization Name: Cvpt-Des Peres, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 26, 2010
Last Updated: Jan 26, 2010

Practice Location

Address: 12360 MANCHESTER RD
Address 2: SUITE 150
City: Des Peres
State: Missouri
ZIP Code: 63131-4312
Phone: (636) 728-1777

Authorized Official

Name: MICHAEL JUSTIN GORMAN, PT, MOMT, DMT
Title: OWNER
Phone: (636) 728-1777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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