Provider First Line Business Practice Location Address:
2558 S BRENTWOOD BLVD
Provider Second Line Business Practice Location Address:
#1 BRENTWOOD PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
ST. LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-961-8940
Provider Business Practice Location Address Fax Number:
314-961-8969
Provider Enumeration Date:
09/29/2008