Byran Charles Bortfeld, DPT

NPI #1114359148 in O Fallon, Missouri

Provider Information

NPI Number: 1114359148
Entity Type: Individual
Name: Byran Charles Bortfeld, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 1, 2013
Last Updated: Aug 6, 2013

Practice Location

Address: 939 HIGHWAY K
City: O Fallon
State: Missouri
ZIP Code: 63366-2910
Phone: (636) 240-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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