SAMUEL EVELAND

SAINT LOUIS, MO
NPI1568870368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2014024451)
Enumeration Date2014-07-24
Last Update Date2014-07-24
Business Address
-- SAMUEL EVELAND PTA
13230 MANCHESTER RD
SAINT LOUIS, MO 63131-1706
Phone number: 314-480-5259
Mailing Address
-- SAMUEL EVELAND PTA
5405 ROBERT AVE
SAINT LOUIS, MO 63109-4065
Phone number: 314-680-5266
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