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Individual

SCOTT GUTSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
34 HILLSIDE MANOR CT, ST. PETERS, MO 63376-4144
(314) 922-6844
(636) 294-9500
Mailing address
34 HILLSIDE MANOR CT, ST. PETERS, MO 63376-4144
(314) 922-6844
(636) 294-9500

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.012079
IL
225100000X
Physical Therapist
Primary
2004028835
MO

Other

Enumeration date
01/23/2009
Last updated
07/22/2009
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