Individual
DR. JONATHAN DAVID DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
12266 DEPAUL DRIVE, SUITE 115, BRIDGETON, MO 63044
(314) 209-7700
Mailing address
4527 OAKLAND AVE, A, SAINT LOUIS, MO 63110-1522
(812) 449-2521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05009876A
IN
225100000X
Physical Therapist
Primary
2012012464
MO
225100000X
Physical Therapist
40QA01334500
NJ
Other
Enumeration date
09/16/2009
Last updated
07/06/2012
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