Individual
BRANDON CHARLES MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12349 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 209-7700
Mailing address
6730 NASHVILLE AVE, SAINT LOUIS, MO 63139-3714
(314) 458-6040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021033702
MO
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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