DANIEL PULLIAM

SAINT LOUIS, MO
NPI1619446952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2018-11-15
Last Update Date2018-11-15
Business Address
DANIEL PULLIAM PTA
4005 RIPA AVE
SAINT LOUIS, MO 63125-2378
Phone number: 314-544-1111
Mailing Address
DANIEL PULLIAM PTA
5751 LANSDOWNE AVE
SAINT LOUIS, MO 63109-1529
Phone number: 314-609-7406