Boutique Physio, INC
NPI #1295387041 in University City, Missouri
Provider Information
- NPI Number
- 1295387041
- Entity Type
- Organization
- Organization Name
- Boutique Physio, INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 11, 2019
- Last Updated
- Jul 11, 2019
Practice Location
- Address
- 909 PURDUE AVE
- City
- University City
- State
- Missouri
- ZIP Code
- 63130-3012
- Phone
- (314) 802-7337
Authorized Official
- Name
- JOANNE MACZA
- Title
- PHYSICAL THERAPIST/OWNER
- Phone
- (314) 802-7337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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