Individual
SOWMYA BOYILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
936 CHARBONIER RD, FLORISSANT, MO 63031-5220
(314) 831-4800
Mailing address
14475 GREENCASTLE DR APT 3, CHESTERFIELD, MO 63017-8229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014030407
MO
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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