Healthcare Provider Details

I. General information

NPI: 1841744463
Provider Name (Legal Business Name): REHABILITATION PROFESSIONALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2016
Last Update Date: 08/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WEBER RD
O FALLON IL
62269-2215
US

IV. Provider business mailing address

1034 S BRENTWOOD BLVD SUITE 300
SAINT LOUIS MO
63117-1223
US

V. Phone/Fax

Practice location:
  • Phone: 618-624-6000
  • Fax:
Mailing address:
  • Phone: 314-644-1978
  • Fax: 314-644-5730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JONTY FELSHER
Title or Position: OWNER/PRESIDENT
Credential: PTA
Phone: 314-644-1978