Individual
BRIELLE HOLLY BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12380 DEPAUL DR, BRIDGETON, MO 63044
(314) 447-9710
Mailing address
4217 BLAINE AVE APT C, SAINT LOUIS, MO 63110-2484
(317) 413-4583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021024429
MO
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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