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Individual

BRETT STUPPY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2315 DOUGHERTY FERRY RD, SUITE 209, SAINT LOUIS, MO 63122-3383
(314) 238-1130
(314) 238-1132
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
(630) 928-5080

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20160003536
MO

Other

Enumeration date
02/16/2016
Last updated
07/14/2020
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