Individual
DANIEL PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4005 RIPA AVE, SAINT LOUIS, MO 63125-2378
(314) 544-1111
Mailing address
5751 LANSDOWNE AVE, SAINT LOUIS, MO 63109-1529
(314) 609-7406
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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