Individual
BRITTANY JESSICA COUNTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2 HARBOR BEND CT, LAKE ST LOUIS, MO 63367-1478
(636) 695-2070
Mailing address
1905 BRIARFIELD DR, LAKE ST LOUIS, MO 63367-6493
(314) 420-6779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005019708
MO
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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