Individual
CHARLES BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10870 PEAR BLOSSOM CT, APT. C, SAINT ANN, MO 63074-1245
(314) 327-7604
Mailing address
10870 PEAR BLOSSOM CT, APT. C, SAINT ANN, MO 63074-1245
(314) 327-7604
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2008026601
MO
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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