Individual
MR. DAVID J BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9350 GREEN PARK RD, SAINT LOUIS, MO 63123-7211
(314) 845-0900
Mailing address
6501 PINECREST DR, POPLAR BLUFF, MO 63901-9141
(573) 429-1702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2000161102
MO
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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