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Individual

MR. LARRY RAY EHRNREICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3520 CHOUTEAU AVE, SAINT LOUIS, MO 63103-2916
(314) 771-2100
Mailing address
6919 WOODSMERE CIR, SAINT LOUIS, MO 63129-3910
(314) 846-1405

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
118017
MO

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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