ALYSSA JANE SCOVILLE

BRIDGETON, MO
NPI1811461577
Former NameALYSSA JANE SURGENER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2018039733)
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
Mrs. ALYSSA JANE SCOVILLE DPT
12380 DE PAUL DR
BRIDGETON, MO 63044-2511
Phone number: 314-447-9710
Mailing Address
Mrs. ALYSSA JANE SCOVILLE DPT
8912 MORITZ AVE
SAINT LOUIS, MO 63144-1733
Phone number: 314-607-0068