Individual
DUSTIN RICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
210 HARTMAN LN STE 500, O FALLON, IL 62269-1783
(618) 589-9000
(618) 589-9005
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 589-9000
(618) 589-9005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.016295
IL
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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