Individual
BRENT WILLIAM SCHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4418 TELEGRAPH RD, SAINT LOUIS, MO 63129-3316
(314) 894-2222
Mailing address
880 COLUMBIA CTR, COLUMBIA, IL 62236-2567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.018458
IL
225100000X
Physical Therapist
Primary
2011021995
MO
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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