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NPI Code Detail

MEDICARE: BABAR ENTERPRISES LLC

MEDICARE: BABAR ENTERPRISES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5235MO

General Provider Information

NPI Number : 1366607814
Entity Type Code : Organization
Provider Name (Legal Business Name) : BABAR ENTERPRISES LLC
Provider Business Mailing Address
First Line : 2454 W CLAY ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2548
Country : US
Telephone Number : 636-916-4625
Fax Number : 636-916-4628
Provider Business Practice Location Address
First Line : 9331 PHOENIX VILLAGE PKWY
Second Line :
City : O FALLON
State : MO
Zip : 63368-4281
Country : US
Telephone Number : 636-561-4793
Fax Number : 636-561-4811
Authorized Official
Title or Position : OWNER / AUTHORIZED OFFICIAL
Name : STEVEN N DAVIDSON
Credential :
Telephone Number : 616-356-5000
Provider Enumeration Date : 07/24/2008
Last Update Date : 04/14/2014

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Directions to “BABAR ENTERPRISES LLC ” Practice Location

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