Individual
MRS. ALYSSA JANE SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
8912 MORITZ AVE, SAINT LOUIS, MO 63144-1733
(314) 607-0068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018039733
MO
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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