Individual
MRS. JACQUELINE ELAINE BRYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(618) 924-3690
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(618) 924-3690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011037082
MO
Other
Enumeration date
10/18/2012
Last updated
10/23/2012
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