Individual
MISS MICHELLE DURALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2621 RAYMOND DR, SAINT CHARLES, MO 63301-4872
(636) 946-2244
(636) 946-6975
Mailing address
2621 RAYMOND DR, SAINT CHARLES, MO 63301-4872
(636) 946-2244
(636) 946-6975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103707
MO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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