Audrey Mills, PT, DPT | |
8601 Glenwood Dr, Saint Louis, MO 63126-1957 | |
(636) 484-3727 | |
Not Available |
Full Name | Audrey Mills |
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Gender | Female |
Speciality | Physical Therapist |
Location | 8601 Glenwood Dr, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730706359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2020016677 (Missouri) | Primary |
Provider Name | Performance 21 Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1578336822 PECOS PAC ID: 4688022528 Enrollment ID: O20231202000466 |
Mailing Address | Practice Location Address |
---|---|
Audrey Mills, PT, DPT 2753 Sun Meadow Dr, Wildwood, MO 63005-7025 Ph: (636) 484-3727 | Audrey Mills, PT, DPT 8601 Glenwood Dr, Saint Louis, MO 63126-1957 Ph: (636) 484-3727 |
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