MRS. Jesse Marie Civello, DPT

NPI #1861814261 in Clayton, Missouri

Provider Information

NPI Number: 1861814261
Entity Type: Individual
Name: MRS. Jesse Marie Civello, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jan 20, 2014
Last Updated: Dec 11, 2019

Practice Location

Address: 222 S MERAMEC AVENUE
Address 2: SUITE 100
City: Clayton
State: Missouri
ZIP Code: 63105
Phone: (314) 707-4179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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