BRIAN R BERRY

HUNNEWELL, MO
NPI1578084786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2016020955)
Enumeration Date2017-06-28
Last Update Date2017-06-28
Business Address
BRIAN R BERRY
107 E WALNUT ST
HUNNEWELL, MO 63443-3051
Phone number: 660-853-0023
Mailing Address
BRIAN R BERRY
3388 FALCON CREST DR
BRIDGETON, MO 63044-3174
Phone number: 660-853-0023