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Zachary Boyle, DPT

Physical Therapist in Ballwin, MO. Individual provider (NPI-1).

NPI number1710426432
StatusActive
Last updated in NPPESFeb 14, 2017

Details

NPI
1710426432
Entity type
Individual (NPI-1)
Name
Zachary Boyle
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 14, 2017
Last updated
Feb 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2016003391MOYes

Practice location

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077

Phone 636-220-6969

Mailing address

15425 Manchester Rd
Ste 28
Ballwin, MO 63011-3077

Phone 636-220-6969

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