Doctor Name: | MRS. COLLEEN O'KEEFE GUND |
NPI Number: | 1134269566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPTPCS |
License Number: | 02196 |
Business Practice Address: | 56 Worthington Access Dr Maryland Heights, MO - 630433806 |
Business Phone Number: | 3144390800 |
Business Fax Number: | 3144390801 |
Mailing Address: | 3 Arundel Pl, SAINT LOUIS |
State: | MO |
Postal Code: | 631052308 |
Phone Number: | 3143689010 |
Fax Number: | 3147256699 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 02196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |