Individual
DANIEL BROCKSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2 MCKNIGHT PL, SAINT LOUIS, MO 63124-1900
(314) 993-2221
Mailing address
2223 RICHERT PL, SAINT LOUIS, MO 63143-2521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018028388
MO
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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