Individual
SAMANTHA BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12468 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2506
(314) 739-1123
Mailing address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016027207
MO
Other
Enumeration date
05/23/2016
Last updated
07/30/2019
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