| Rustico Mallillin, | |
|
3446 Mckelvey Rd, Bridgeton, MO 63044-2525 | |
| (314) 298-0353 | |
| Not Available |
| Full Name | Rustico Mallillin |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3446 Mckelvey Rd, Bridgeton, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487758769 | NPI | - | NPPES |
| 2002006272 | Other | MO | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rustico Mallillin, 25 Gloria Ln, Saint Peters, MO 63376-2157 Ph: (314) 550-9996 | Rustico Mallillin, 3446 Mckelvey Rd, Bridgeton, MO 63044-2525 Ph: (314) 298-0353 |
Amanda Harmston, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12108 Saint Charles Rock Rd, Bridgeton, MO 63044 Phone: 314-739-2020 Fax: 314-739-2022 | |
Rebekah Cheng, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Katherine Bishop Bennington, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 314-447-9710 | |
Stephanie Ross, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Paige Buffington, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3446 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-298-0353 Fax: 314-298-9741 | |
Kelsey Elaine Martin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12380 De Paul Dr, Bridgeton, MO 63044 Phone: 314-447-9710 | |
Miss Kelly C Holschen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3431 Bridgeland Dr, Bridgeton, MO 63044 Phone: 314-373-2095 Fax: 314-373-2096 |