Individual
JAY L MATURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, MAT, LAT
Contact information
Practice address
605 E BOONESLICK RD STE 3, WARRENTON, MO 63383-2127
(636) 456-6350
Mailing address
714 EUNICE AVE, SAINT LOUIS, MO 63119-1917
(314) 359-5019
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2014021748
MO
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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