Individual provider · NPI-1

Bayan Abdallat, DPT

Physical Therapist, Pediatrics · Saint Louis, MO

NPI number1306420443
StatusActive
Last updated in NPPESJun 22, 2026

Details

NPI
1306420443
Entity type
Individual (NPI-1)
Name
Bayan Abdallat
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2021
Certification date
Jun 22, 2026
Last updated
Jun 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, Pediatrics2022038191MOYes

Practice location

29 Ronnies Plz
Saint Louis, MO 63126-3552

Phone 314-748-5800

Mailing address

285 Bountiful Pointe Cir
Wildwood, MO 63040-2126

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