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NPI Code Detail

MEDICARE: O'FALLON THERAPY SERVICES, LLC

MEDICARE: O'FALLON THERAPY SERVICES, 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 Therapist2004007615MO

General Provider Information

NPI Number : 1700086287
Entity Type Code : Organization
Provider Name (Legal Business Name) : O'FALLON THERAPY SERVICES, LLC
Provider Business Mailing Address
First Line : 3023 HIGHWAY K # 639
Second Line :
City : O FALLON
State : MO
Zip : 63368-8696
Country : US
Telephone Number : 636-474-2273
Fax Number : 636-474-2272
Provider Business Practice Location Address
First Line : 1601 BRYAN RD
Second Line :
City : O FALLON
State : MO
Zip : 63368-4815
Country : US
Telephone Number : 618-979-8660
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. SEAN M TONER
Credential : D.C.
Telephone Number : 618-979-8660
Provider Enumeration Date : 07/23/2007
Last Update Date : 02/29/2008

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Directions to “O'FALLON THERAPY SERVICES, LLC ” Practice Location

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