| NPI | 1447478391 |
|---|---|
| Other Name | O'FALLON PT AND REHAB |
| Entity Type | Organization |
| Authorized Contact | RICHARD S CULLIGAN Owner 314-469-9843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2002018241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2004007615) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |