Individual
ALEXANDER H BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(636) 493-5590
Mailing address
3612 RUNNYMEDE DR, SAINT CHARLES, MO 63301-4510
(636) 493-5590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025028573
MO
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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