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Individual

MR. JAMES DALE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
322 N CENTRAL AVE, EUREKA, MO 63025-1826
(636) 938-4065
(636) 938-4067
Mailing address
9137 N SWAN CIR, SAINT LOUIS, MO 63144-1161
(314) 495-2230

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009036029
MO

Other

Enumeration date
12/03/2009
Last updated
12/03/2009
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