Individual
DR. DANIELLE BUCHANAN IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4444 FOREST PARK AVE, STE 1210, SAINT LOUIS, MO 63108-2212
(314) 286-1940
(314) 286-1473
Mailing address
4444 FOREST PARK AVE, CB 8502, SAINT LOUIS, MO 63108-2212
(314) 286-1940
(314) 286-1473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019017284
MO
Other
Enumeration date
05/28/2019
Last updated
02/25/2021
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