| NPI | 1730301359 |
|---|---|
| Doing Business As | D.B.A. DES PERES PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DEB LAVENDER Physical Therapist/Owner 314-821-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO r0391) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-12-30 |