Individual
JEFFREY MARTIN BETONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
401 CORPORATE PARK DR, SAINT LOUIS, MO 63105-4201
(314) 725-7447
Mailing address
2266 RULE AVE APT D, MARYLAND HEIGHTS, MO 63043-1430
(901) 828-3789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019003954
MO
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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