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General NPI Number Information
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NPI Number | 1588471445
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Entity Type | Organization
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Legal Business Name | IN HOME PHYSICAL THERAPY OF ST LOUIS COUNTY LLC
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 13700 CLAYTON RD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-8418
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Country | US
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Telephone | 314-753-9210
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Fax |
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Provider Business Mailing Address
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Address Line | 13700 CLAYTON RD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-8418
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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
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Name | ZACHARY BOHR
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Credential | PT, DPT
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Telephone | 314-753-9210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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