Individual
CHARLES MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2454 W CLAY ST, SAINT CHARLES, MO 63301-2548
(636) 949-2020
Mailing address
116 ASHLAND PL, SAINT CHARLES, MO 63301-0702
(636) 724-5797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01279
LICENSE #
MO
Enumeration date
08/29/2006
Last updated
07/08/2007
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