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Individual

RACHELE DENISE CHRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
110 VIRGIL ST, FT ZUMWALT R-II, O FALLON, MO 63366-2637
(636) 272-1059
(636) 980-1946
Mailing address
110 VIRGIL ST, O FALLON, MO 63366-2637
(636) 272-1059
(636) 980-1946

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000171999
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
484909007
MO
Enumeration date
03/07/2007
Last updated
02/19/2009
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