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Individual

CLAUDIA R ADDIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1096 TOM GINNEVER AVE, O FALLON, MO 63366-4519
(636) 978-5255
(636) 978-5287
Mailing address
2454 W CLAY ST, SAINT CHARLES, MO 63301-2548
(636) 916-4625
(636) 916-4528

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008029883
MO

Other

Enumeration date
10/01/2008
Last updated
10/01/2008
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