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1760239313
ADAM PENG
SAINT LOUIS, MO
NPI
1760239313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2021040200)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
ADAM PENG DPT
1150 HANLEY INDUSTRIAL CT
SAINT LOUIS, MO 63144-1910
Phone number: 314-968-9313
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Mailing Address
ADAM PENG DPT
2100 BOARDMAN ST APT 427
SAINT LOUIS, MO 63110-3060
Phone number: 858-295-2604
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