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General NPI Number Information
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NPI Number | 1427918531
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Entity Type | Organization
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Legal Business Name | STL PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 758 N NEW BALLAS RD
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6716
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Country | US
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Telephone | 314-941-5921
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MEADOW LAKE DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-5468
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | EDWARD PILGRIM
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Credential | DPT
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Telephone | 314-941-5921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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