| Core Services | |
|
7508 Big Bend Blvd Saint Louis MO 63119-2104 | |
| (314) 647-4880 | |
| Not Available |
| Full Name | Core Services |
|---|---|
| Speciality | Physical Therapist |
| Location | 7508 Big Bend Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Julie Hereford (PRESIDENT) |
| Authorized Official Contact | 3146474880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Services 7508 Big Bend Blvd Saint Louis MO 63119-2104 Ph: (314) 647-4880 | Core Services 7508 Big Bend Blvd Saint Louis MO 63119-2104 Ph: (314) 647-4880 |
| NPI Number | 1083820476 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 01/29/2015 |
| Medicare PECOS PAC ID | 7315990132 |
|---|---|
| Medicare Enrollment ID | O20050222000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083820476 | NPI | - | NPPES |
| Provider Name | Julie M Hereford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003903436 PECOS PAC ID: 8921138025 Enrollment ID: I20120210000207 |
| Provider Name | Mary E Rollins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316326788 PECOS PAC ID: 9133440092 Enrollment ID: I20150603001825 |
| Provider Name | David W. Candy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457587206 PECOS PAC ID: 3577846088 Enrollment ID: I20170207002917 |
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