| Doctor Name: | GREGORY CHARLES JUDICE |
| NPI Number: | 1578978797 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 2014018751 |
| Business Practice Address: | 4800 Mexico Rd Ste 104 Saint Peters, MO - 633761666 |
| Business Phone Number: | 6369399540 |
| Business Fax Number: | 6369399886 |
| Mailing Address: | 2454 W Clay St, SAINT CHARLES |
| State: | MO |
| Postal Code: | 633012548 |
| Phone Number: | 6369164625 |
| Fax Number: | 6163565001 |
| NPI Enumeration Date: | 06/26/2014 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2014018751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |