Charles Branch LMT

NPI 1538302211 - Mechanotherapist - 172M00000X

NPI Details
NPI 1538302211
Gender Male
Enumeration Date 04/10/2009
Last Updated 04/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
10870 PEAR BLOSSOM CT
APT. C
SAINT ANN MO, 63074-1245, US
Phone (314) 327-7604
Fax
Business Location
10870 PEAR BLOSSOM CT
APT. C
SAINT ANN MO, 63074-1245, US
Phone (314) 327-7604
Fax
Toxanomy
Taxonomy Code 172M00000X
License State Missouri
License Number 2008026601
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According to our database, Charles Branch LMT NPI is 1538302211, taxonomy code is 172M00000X and license number is 2008026601, license state is located at Missouri. Charles Branch LMT physically located at 10870 Pear Blossom Ct, Saint Ann MO, 63074-1245. NPI Number Charles Branch LMT has the Individual type.

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1538302211 NPI number is provided on an as is basis without warranty of any kind. 1538302211 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Branch LMT are for informational purposes only.