Individual
MR. MARK F SCHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
905 N GRAND BLVD, 117-JC, SAINT LOUIS, MO 63106-1621
(314) 289-6314
Mailing address
2827 JANUARY AVE, SAINT LOUIS, MO 63139-1635
(314) 647-3543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000154589
MO
Other
Enumeration date
05/31/2006
Last updated
12/10/2007
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