Provider Demographics
NPI:1235238247
Name:COMPREHENSIVE REHABILITATION AND ERGONOMICS SERVICES INC
Entity Type:Organization
Organization Name:COMPREHENSIVE REHABILITATION AND ERGONOMICS SERVICES INC
Other - Org Name:CORE SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HEREFORD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:314-647-4880
Mailing Address - Street 1:7508 BIG BEND BLVD
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2104
Mailing Address - Country:US
Mailing Address - Phone:314-647-4880
Mailing Address - Fax:314-647-1964
Practice Address - Street 1:7508 BIG BEND BLVD
Practice Address - Street 2:
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-2104
Practice Address - Country:US
Practice Address - Phone:314-647-4880
Practice Address - Fax:314-647-1964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01347225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty