ADAM PENG

SAINT LOUIS, MO
NPI1760239313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2021040200)
Enumeration Date2024-05-02
Last Update Date2024-05-02
Business Address
ADAM PENG DPT
1150 HANLEY INDUSTRIAL CT
SAINT LOUIS, MO 63144-1910
Phone number: 314-968-9313
Mailing Address
ADAM PENG DPT
2100 BOARDMAN ST APT 427
SAINT LOUIS, MO 63110-3060
Phone number: 858-295-2604