Phillip J Ward, DPT | |
12639 Old Tesson Rd, Saint Louis, MO 63128-2711 | |
(143) 849-0311 | |
Not Available |
Full Name | Phillip J Ward |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 12639 Old Tesson Rd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619318441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2013013589 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Signature Medical Group Inc | 4880598291 | 35 |
Provider Name | Signature Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871542761 PECOS PAC ID: 4880598291 Enrollment ID: O20031204000173 |
Provider Name | Central Missouri Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
Mailing Address | Practice Location Address |
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Phillip J Ward, DPT 12639 Old Tesson Rd, Saint Louis, MO 63128-2711 Ph: (314) 849-0311 | Phillip J Ward, DPT 12639 Old Tesson Rd, Saint Louis, MO 63128-2711 Ph: (143) 849-0311 |
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