Individual
BRIAN R BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 E WALNUT ST, HUNNEWELL, MO 63443-3051
(660) 853-0023
Mailing address
3388 FALCON CREST DR, BRIDGETON, MO 63044-3174
(660) 853-0023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016020955
MO
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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