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NPI Code Detail

MEDICARE: MARY ERHART P.T.

MEDICARE:   MARY  ERHART  P.T.
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 Therapist01275MO

General Provider Information

NPI Number : 1912366188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ERHART P.T.
Provider Business Mailing Address
First Line : 5425 CHAPELFORD LN
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-5021
Country : US
Telephone Number : 314-968-6838
Fax Number :
Provider Business Practice Location Address
First Line : 5425 CHAPELFORD LN
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-5021
Country : US
Telephone Number : 314-968-6838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2016
Last Update Date : 02/16/2016

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Directions to “ MARY ERHART P.T.” Practice Location

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