Provider Demographics
NPI:1235901414
Name:THE SOULARD SCHOOL
Entity Type:Organization
Organization Name:THE SOULARD SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNICATIONS AND OPS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-865-2799
Mailing Address - Street 1:1110 VICTOR ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-4324
Mailing Address - Country:US
Mailing Address - Phone:314-865-2799
Mailing Address - Fax:314-773-8849
Practice Address - Street 1:1110 VICTOR ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-4324
Practice Address - Country:US
Practice Address - Phone:314-865-2799
Practice Address - Fax:314-773-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty