LYRA RIVERA PHAN

FLORISSANT, MO
NPI1023142601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  100097)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
-- LYRA RIVERA PHAN PT
250 NEW FLORISSANT RD S
FLORISSANT, MO 63013
Phone number: 314-830-7950
Mailing Address
-- LYRA RIVERA PHAN PT
12858 STRATHEARN DR
ST LOUIS, MO 63146
Phone number: 314-307-1714