Individual
ANTHONY PUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
333 S KIRKWOOD RD, KIRKWOOD, MO 63122-6161
(314) 909-4848
Mailing address
14515 N OUTER 40 RD, CHESTERFIELD, MO 63017-5791
(314) 434-8680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017031954
MO
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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