Individual
MR. JOSEPH CHAD GUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
105 S 6TH ST, PACIFIC, MO 63069-1328
(636) 257-4222
Mailing address
261 CRESCENT AVE, VALLEY PARK, MO 63088-1143
(314) 560-7595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2002029173
MO
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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