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Individual

MR. COREY NOLTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, GCS

Contact information

Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Mailing address
880 GREELEY AVE, WEBSTER GROVES, MO 63119-2069
(314) 667-9996

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1322804
TX
225100000X
Physical Therapist
Primary
2020013611
MO

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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