CHARLES BRANCH

SAINT ANN, MO
NPI1538302211
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: MO  2008026601)
Enumeration Date2009-04-10
Last Update Date2009-04-10
Business Address
-- CHARLES BRANCH LMT
10870 PEAR BLOSSOM CT APT. C
SAINT ANN, MO 63074-1245
Phone number: 314-327-7604
Mailing Address
-- CHARLES BRANCH LMT
10870 PEAR BLOSSOM CT APT. C
SAINT ANN, MO 63074-1245
Phone number: 314-327-7604