Organization · Type 2 NPI

Judice Consulting LLC

Physical Therapy Clinic/Center · Ballwin, MO

NPI number 1629590955 Active

Practice location

700 Shallowcreek Vw
Ballwin, MO 63021-6618

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center Primary	261QP2000X	2014027053 (MO)

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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NPI record

NPI: 1629590955
Entity type: Organization (Type 2)
Issued: Jul 7, 2017
Last updated: Jul 18, 2017
Status: Active

Other names

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Judice Sports and Rehab · doing business as
Judice Sports and Rehab · doing business as

Authorized official

Dr. Gregory Charles Judice, PT, DPT
Owner/physical Therapist
(225) 505-6659

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629590955

Judice Consulting LLC's National Provider Identifier is 1629590955, issued on Jul 7, 2017. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Ballwin, MO. The record was last updated on Jul 18, 2017.