Individual
BENJAMIN LEUTHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1630 MARKET CENTER BLVD, O FALLON, MO 63368-8407
(636) 244-8248
Mailing address
2742 BROUSTER AVE, SAINT LOUIS, MO 63114-1104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023039764
MO
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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