Lifevision, Inc.

NPI 1053449579 - Physical Therapist - 225100000X

NPI Details
NPI 1053449579
Enumeration Date 02/28/2007
Last Updated 07/09/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY ELLEN MARY
Position VICE PRESIDENT
Phone (314) 984-0068
Fax (314) 984-0338
Practice Location
338 S KIRKWOOD RD
UNIT 104B
SAINT LOUIS MO, 63122-6166, US
Phone (314) 984-0068
Fax (314) 984-0338
Business Location
338 S KIRKWOOD RD
UNIT 104B
SAINT LOUIS MO, 63122-6166, US
Phone (314) 984-0068
Fax (314) 984-0338
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 00923
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According to our database, Lifevision, Inc. NPI is 1053449579, taxonomy code is 225100000X and license number is 00923, license state is located at Missouri. Lifevision, Inc. physically located at 338 S Kirkwood Rd, Saint Louis MO, 63122-6166. NPI Number 1033115704 has the healthcare provider type.

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1053449579 NPI number is provided on an as is basis without warranty of any kind. 1053449579 is maintained by the National Plan & Provider Enumeration System. The contents of Lifevision, Inc. are for informational purposes only.