Individual
RICHARD KENNETH SUAREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
600 BREEZE PARK DR, WELDON SPRING, MO 63304-9139
(636) 939-5223
Mailing address
600 BREEZE PARK DR, WELDON SPRING, MO 63304-9139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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