Individual
SAMIR CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2937 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2713
(314) 961-3804
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
2019042031
MO
Other
Enumeration date
07/24/2019
Last updated
06/25/2020
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