Organization · Type 2 NPI

Prorehab PC

Clinic/Center · Perryville, MO

NPI number 1104467547 Active

Practice location

1418 W Saint Joseph St Ste 170
Perryville, MO 63775-1678

Mailing address

600 Oakmont Ln Ste 600C
Westmont, IL 60559-5548

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1104467547

Prorehab PC's National Provider Identifier is 1104467547, issued on Oct 7, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Perryville, MO. The record was last updated on Oct 7, 2019.