Individual
MARY S HERCULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1840 ZUMBEHL RD, SAINT CHARLES, MO 63303-2761
(636) 947-7678
(636) 947-4350
Mailing address
1840 ZUMBEHL RD, SAINT CHARLES, MO 63303-2761
(636) 947-7678
(636) 947-4350
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
R0998
MO
Other
Enumeration date
09/24/2010
Last updated
08/12/2014
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