Dustin Richert, PT

NPI #1063779403 in O Fallon, Illinois

Provider Information

NPI Number
1063779403
Entity Type
Individual
Name
Dustin Richert, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Apr 23, 2012
Last Updated
Apr 23, 2012

Practice Location

Address
210 HARTMAN LN STE 500
ZIP Code
62269-1783
Phone
(618) 589-9000

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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