Individual
KAMRUN N ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8228 BRENTWOOD INDUSTRIAL DR, BRENTWOOD, MO 63144-2815
(314) 218-8966
(314) 781-3448
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070020459
IL
225100000X
Physical Therapist
Primary
2014001820
MO
Other
Enumeration date
09/25/2007
Last updated
01/22/2016
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