Individual
KOMURI BRIAN LEJUKOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3518 LACLEDE AVE, SAINT LOUIS, MO 63103-2011
(314) 977-2323
Mailing address
1185 SE ROSEWOOD DR, WAUKEE, IA 50263-8326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025034004
MO
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/02/2025
Last updated
08/25/2025
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