Individual
ADAM PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1150 HANLEY INDUSTRIAL CT, SAINT LOUIS, MO 63144-1910
(314) 968-9313
Mailing address
2100 BOARDMAN ST APT 427, SAINT LOUIS, MO 63110-3060
(858) 295-2604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021040200
MO
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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