Individual
DUSTIN STORCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2007034391
MO
225100000X
Physical Therapist
Primary
70015924
IL
261QP2000X
Physical Therapy Clinic/Center
2007034391
MO
Other
Enumeration date
01/29/2008
Last updated
06/05/2024
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