Individual
MR. RICHARD SEBASTIAN PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1601 E TERRA LN, O FALLON, MO 63366-4414
(636) 978-6634
Mailing address
1601 E TERRA LN, O FALLON, MO 63366-4414
(636) 978-6634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113783
MO
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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