ANTHONY PAUL BREITBACH

SAINT LOUIS, MO
NPI1215147954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  20000171123)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mr. ANTHONY PAUL BREITBACH ATC
3437 CAROLINE ST
SAINT LOUIS, MO 63104-1111
Phone number: 314-977-3295
Mailing Address
Mr. ANTHONY PAUL BREITBACH ATC
1054 TREETOP TRAIL DR
MANCHESTER, MO 63021-7719
Phone number: 636-227-7897
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