Individual
NIVI DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6460
Mailing address
1632 PRESTONPARK LN, SAINT LOUIS, MO 63146-4737
(314) 484-8953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117796
MO
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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