Individual
IAN P MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14825 N OUTER 40 RD STE 300, CHESTERFIELD, MO 63017-0002
(636) 812-1211
(636) 812-0159
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022030884
MO
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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