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Individual

BRYAN CHAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(636) 206-6540
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 223-5700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024033430
MO

Other

Enumeration date
08/20/2024
Last updated
08/20/2024
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