MR. Earl Ellis Mccrary III, PTA

NPI #1013061050 in Des Peres, Missouri

Provider Information

NPI Number: 1013061050
Entity Type: Individual
Name: MR. Earl Ellis Mccrary III, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1032 OLD DES PERES RD
City: Des Peres
State: Missouri
ZIP Code: 63131-1865
Phone: (314) 821-6181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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