Individual provider · NPI-1

Samuel Joseph Abraham, DPT

Physical Therapist · Saint Louis, MO

NPI number1689504045
StatusActive
Last updated in NPPESJul 15, 2026

Details

NPI
1689504045
Entity type
Individual (NPI-1)
Name
Mr. Samuel Joseph Abraham
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
May 19, 2026
Certification date
May 19, 2026
Last updated
Jul 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2026023731MOYes

Practice location

4240 Duncan Ave
Dept Physical Therapy, Ste 120
Saint Louis, MO 63110-1108

Phone 314-286-1940 · Fax 314-286-1473

Mailing address

Po Box 7412011
Chicago, IL 60674-2011

Phone 314-286-1940 · Fax 314-286-1473

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