Anthony Duvergel
Physical Therapist in Freeburg, IL. Individual provider (NPI-1).
NPI number1679352249
StatusActive
Last updated in NPPESSep 25, 2023
Details
- NPI
- 1679352249
- Entity type
- Individual (NPI-1)
- Name
- Anthony Duvergel
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2023
- Certification date
- Sep 24, 2023
- Last updated
- Sep 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2023038579 | MO | Yes |
Practice location
251 Marketplace Dr # 2Freeburg, IL 62243-4082
Phone 618-539-5900
Mailing address
7563 Clayton Rd Apt 302Saint Louis, MO 63117-1442
Phone 314-809-4033
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