Individual
MR. MICHAEL JOHN FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3101 RECREATION DR, SUITE 130, WASHINGTON, MO 63090-6107
(636) 239-9979
Mailing address
3101 RECREATION DR, SUITE 130, WASHINGTON, MO 63090-6107
(636) 239-9979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113493
MO
Other
Enumeration date
08/31/2006
Last updated
07/10/2015
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