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Individual

ASHLEY DANIELLE BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8660 GRANT RD, SAINT LOUIS, MO 63123-1044
(314) 842-3939
Mailing address
921 MIST FLOWER DR, WATERLOO, IL 62298-3180

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005299
IL
225200000X
Physical Therapy Assistant

Other

Enumeration date
04/20/2020
Last updated
11/10/2020
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