IAN LEI MODDE

MARYLAND HEIGHTS, MO
NPI1962279653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
IAN LEI MODDE PT, DPT
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043-3411
Phone number: 314-872-6400
Mailing Address
IAN LEI MODDE PT, DPT
409 W ARGONNE DR
SAINT LOUIS, MO 63122-4133
Phone number: 314-623-5017
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