Individual
PATRICIA MCCLURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13610 BARRETT OFFICE DR, SUITE 104, BALLWIN, MO 63021-7816
(314) 822-5107
Mailing address
925 S SARAH ST, SAINT LOUIS, MO 63110-1741
(918) 625-4139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013018938
MO
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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