Individual
ANTHONY DUVERGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 MARKETPLACE DR # 2, FREEBURG, IL 62243-4082
(618) 539-5900
Mailing address
7563 CLAYTON RD APT 302, SAINT LOUIS, MO 63117-1442
(314) 809-4033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023038579
MO
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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